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NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD

Clinic/Center, Mental Health (Including Community Mental Health Center)·COVINGTON, KY·NPI: 1437351376Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $68.5M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$68.5M

$68,451,915

Total Claims

611K

Beneficiaries

108K

5.7 claims/patient

Avg Cost/Claim

$112

Monthly Spending Trend

Yearly Spending

2018
$7.4M
+27%
2019
$9.3M
-6%
2020
$8.8M
+18%
2021
$10.4M
-2%
2022
$10.2M
+4%
2023
$10.6M
+13%
2024
$11.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (97535 (Self-care/home management training, per 15 minutes)) accounts for 30% of total spending.

97535Top 10%

Self-care/home management training, per 15 minutes

$20.8M

223K claims · 30.4%

Your Cost: $93.31/claim|Median: $18.18
5.1× median
T1019Normal range

Personal care services, per 15 min

$15.0M

133K claims · 21.9%

Your Cost: $112.33/claim|Median: $82.47
1.4× median
T2022Normal range

Case management, per month

$11.3M

41K claims · 16.5%

Your Cost: $277.09/claim|Median: $202.77
1.4× median
T2016Normal range

Habilitation, residential, waiver; per diem

$10.5M

65K claims · 15.4%

Your Cost: $161.17/claim|Median: $331.94
0.5× median
T1005Normal range

Respite care services, per 15 minutes

$3.3M

52K claims · 4.9%

Your Cost: $64.42/claim|Median: $71.40
0.9× median
T2040Normal range

Financial management, self-directed; per month

$2.5M

25K claims · 3.7%

Your Cost: $100.13/claim|Median: $108.97
0.9× median
S5108Normal range

Home care training to home care client, per 15 minutes

$2.2M

28K claims · 3.2%

Your Cost: $77.61/claim|Median: $107.36
0.7× median
T2021Normal range

Day habilitation, waiver; per 15 min

$1.8M

30K claims · 2.6%

Your Cost: $60.12/claim|Median: $150.51
0.4× median
S5125Normal range

Attendant care services, per 15 min

$977K

14K claims · 1.4%

Your Cost: $72.17/claim|Median: $82.34
0.9× median