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COMMUNITY CARE ALLIANCE

Community/Behavioral Health·WOONSOCKET, RI·NPI: 1437191061Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$46.4M

$46,412,796

Total Claims

375K

Beneficiaries

177K

2.1 claims/patient

Avg Cost/Claim

$124

Monthly Spending Trend

Yearly Spending

2018
$10.6M
-17%
2019
$8.8M
-56%
2020
$3.9M
-4%
2021
$3.7M
+51%
2022
$5.6M
+35%
2023
$7.6M
-17%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 47 distinct procedure codes. The top code (H0037 (Community psychiatric supportive treatment program, per diem)) accounts for 31% of total spending.

H0037Normal range

Community psychiatric supportive treatment program, per diem

$14.4M

37K claims · 31.1%

Your Cost: $385.94/claim|Median: $225.50
1.7× median
H0019Top 25%

Behavioral health; residential, per diem

$8.5M

4,535 claims · 18.4%

Your Cost: $1,881.47/claim|Median: $357.16
5.3× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$6.9M

6,270 claims · 14.8%

Your Cost: $1,097.51/claim|Median: $266.41
4.1× median
S9485Normal range

Crisis intervention mental health services, per diem

$3.9M

7,160 claims · 8.4%

Your Cost: $544.08/claim|Median: $501.33
1.1× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$2.6M

92K claims · 5.5%

Your Cost: $27.65/claim|Median: $76.05
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$1.5M

24K claims · 3.1%

Your Cost: $59.27/claim|Median: $63.65
0.9× median
H0010Top 5%

Alcohol and/or drug services, sub-acute detoxification, per diem

$1.4M

568 claims · 2.9%

Your Cost: $2,405.71/claim|Median: $369.55
6.5× median
T1027Top 25%

Family training and counseling, per 15 minutes

$834K

7,665 claims · 1.8%

Your Cost: $108.83/claim|Median: $53.00
2.1× median
H2023Normal range

Supported employment, per 15 min

$768K

11K claims · 1.7%

Your Cost: $70.61/claim|Median: $103.94
0.7× median
X0377Top 1%

$743K

12K claims · 1.6%

Your Cost: $63.23/claim|Median: $52.39
1.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$581K

19K claims · 1.3%

Your Cost: $30.94/claim|Median: $37.81
0.8× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$535K

4,916 claims · 1.2%

Your Cost: $108.75/claim|Median: $119.08
0.9× median
X0341Top 25%

$369K

282 claims · 0.8%

Your Cost: $1,309.14/claim|Median: $384.84
3.4× median
H0005Top 10%

Alcohol and/or drug services, group counseling

$364K

4,271 claims · 0.8%

Your Cost: $85.29/claim|Median: $47.35
1.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$359K

3,966 claims · 0.8%

Your Cost: $90.44/claim|Median: $74.63
1.2× median
99502Top 25%

$289K

2,382 claims · 0.6%

Your Cost: $121.32/claim|Median: $59.00
2.1× median
90832Normal range

Psychotherapy, 30 minutes

$253K

6,014 claims · 0.5%

Your Cost: $42.04/claim|Median: $41.28
1.0× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$251K

12K claims · 0.5%

Your Cost: $20.20/claim|Median: $38.83
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$221K

5,272 claims · 0.5%

Your Cost: $41.89/claim|Median: $99.21
0.4× median
T1041Normal range

Medicaid CCBHC services, per diem

$203K

479 claims · 0.4%

Your Cost: $423.72/claim|Median: $913.47
0.5× median
H2036Normal range

Alcohol/drug treatment, per hour

$188K

450 claims · 0.4%

Your Cost: $418.74/claim|Median: $253.79
1.6× median
97150Top 10%

Therapeutic procedure, group (2+ patients)

$148K

2,244 claims · 0.3%

Your Cost: $65.97/claim|Median: $12.12
5.4× median
T2031Normal range

Waiver services, not otherwise specified

$143K

237 claims · 0.3%

Your Cost: $602.85/claim|Median: $853.15
0.7× median
99600Top 25%

Unlisted home visit service or procedure

$133K

720 claims · 0.3%

Your Cost: $185.15/claim|Median: $111.99
1.7× median
H2014Normal range

Skills training & development, per 15 min

$124K

1,365 claims · 0.3%

Your Cost: $90.72/claim|Median: $83.88
1.1× median
T1016Normal range

Case management, each 15 min

$95K

36K claims · 0.2%

Your Cost: $2.64/claim|Median: $49.62
0.1× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$94K

653 claims · 0.2%

Your Cost: $143.46/claim|Median: $129.75
1.1× median
H2000Top 1%

Comprehensive multidisciplinary evaluation

$84K

98 claims · 0.2%

Your Cost: $860.99/claim|Median: $114.71
7.5× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$84K

1,278 claims · 0.2%

Your Cost: $65.92/claim|Median: $53.41
1.2× median
H2011Normal range

Crisis intervention service, per 15 minutes

$78K

4,102 claims · 0.2%

Your Cost: $18.90/claim|Median: $215.80
0.1× median
H0035Top 10%

Mental health partial hospitalization, treatment, per hour

$75K

215 claims · 0.2%

Your Cost: $347.08/claim|Median: $148.53
2.3× median
99501Top 5%

$59K

159 claims · 0.1%

Your Cost: $371.96/claim|Median: $76.03
4.9× median
90853Normal range

Group psychotherapy

$53K

2,705 claims · 0.1%

Your Cost: $19.74/claim|Median: $25.02
0.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$35K

5,463 claims · 0.1%

Your Cost: $6.38/claim|Median: $12.93
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$34K

663 claims · 0.1%

Your Cost: $51.99/claim|Median: $85.66
0.6× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$28K

306 claims · 0.1%

Your Cost: $92.57/claim|Median: $106.70
0.9× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$16K

75 claims · 0.0%

Your Cost: $210.68/claim|Median: $108.91
1.9× median
H0044Normal range

Supported housing, per diem

$13K

39 claims · 0.0%

Your Cost: $322.51/claim|Median: $797.87
0.4× median
H0025Top 5%

Behavioral health prevention education, per session

$11K

26 claims · 0.0%

Your Cost: $409.41/claim|Median: $36.25
11.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$9K

6,129 claims · 0.0%

Your Cost: $1.39/claim|Median: $55.04
0.0× median
H0001Normal range

Alcohol and/or drug assessment

$5K

57 claims · 0.0%

Your Cost: $95.17/claim|Median: $94.22
1.0× median
X0301Normal range

$5K

49 claims · 0.0%

Your Cost: $104.69/claim|Median: $225.71
0.5× median
H0046Normal range

Mental health services, not otherwise specified

$849

50K claims · 0.0%

Your Cost: $0.02/claim|Median: $85.02
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$496

25 claims · 0.0%

Your Cost: $19.82/claim|Median: $25.06
0.8× median
H0006Normal range

Alcohol and/or drug services, case management

$0

120 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.10
S9986Normal range

$0

307 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.86
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$0

339 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.37

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$182.9M

The Providence Center INC

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$170.8M

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$2.68B

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$2.25B

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$1.73B

County of Riverside

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$1.40B

City & County of San Francisco

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$1.34B

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