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COUNTY OF MADERA

Community/Behavioral Health·MADERA, CA·NPI: 1437372554Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $55.9M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-09(81 months)

Total Paid

$55.9M

$55,893,298

Total Claims

214K

Beneficiaries

109K

2.0 claims/patient

Avg Cost/Claim

$261

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+52%
2019
$4.9M
+77%
2020
$8.7M
+38%
2021
$12.0M
-20%
2022
$9.6M
+11%
2023
$10.7M
-36%
2024
$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 32% of total spending.

H2015Top 10%

Comprehensive community support services, per 15 min

$17.7M

52K claims · 31.7%

Your Cost: $338.55/claim|Median: $96.24
3.5× median
T1017Top 25%

Targeted case management, per 15 min

$12.0M

51K claims · 21.5%

Your Cost: $233.31/claim|Median: $69.56
3.4× median
H2010Top 25%

Comprehensive medication services, per 15 min

$8.4M

29K claims · 15.0%

Your Cost: $289.02/claim|Median: $62.69
4.6× median
99214Top 1%

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

$3.3M

4,303 claims · 6.0%

Your Cost: $773.30/claim|Median: $53.41
14.5× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$3.0M

5,122 claims · 5.5%

Your Cost: $595.37/claim|Median: $215.80
2.8× median
H0032Top 10%

Mental health service plan development

$2.9M

12K claims · 5.2%

Your Cost: $236.39/claim|Median: $80.64
2.9× median
90837Top 1%

Psychotherapy, 60 minutes

$2.7M

6,693 claims · 4.8%

Your Cost: $397.83/claim|Median: $85.66
4.6× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$2.5M

10K claims · 4.5%

Your Cost: $242.35/claim|Median: $91.63
2.6× median
99205Top 1%

Office/outpatient visit, new patient, high complexity

$682K

464 claims · 1.2%

Your Cost: $1,469.37/claim|Median: $111.09
13.2× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$512K

1,660 claims · 0.9%

Your Cost: $308.28/claim|Median: $72.96
4.2× median
H0031Top 5%

Mental health assessment by non-physician

$440K

756 claims · 0.8%

Your Cost: $581.87/claim|Median: $96.18
6.0× median
90834Top 1%

Psychotherapy, 45 minutes

$434K

1,495 claims · 0.8%

Your Cost: $290.36/claim|Median: $63.65
4.6× median
H0020Normal range

Alcohol/drug services; methadone administration

$371K

32K claims · 0.7%

Your Cost: $11.60/claim|Median: $18.95
0.6× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$330K

1,008 claims · 0.6%

Your Cost: $327.37/claim|Median: $84.12
3.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$167K

2,513 claims · 0.3%

Your Cost: $66.48/claim|Median: $74.63
0.9× median
T2024Top 25%

Supported employment, waiver, per diem

$136K

212 claims · 0.2%

Your Cost: $642.70/claim|Median: $259.38
2.5× median
90791Normal range

Psychiatric diagnostic evaluation

$110K

1,064 claims · 0.2%

Your Cost: $103.48/claim|Median: $99.21
1.0× median
90832Top 5%

Psychotherapy, 30 minutes

$80K

433 claims · 0.1%

Your Cost: $184.81/claim|Median: $41.28
4.5× median
H0033Top 25%

Oral medication administration, direct observation

$36K

217 claims · 0.1%

Your Cost: $165.63/claim|Median: $31.37
5.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$0

222 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.92
H0005Normal range

Alcohol and/or drug services, group counseling

$0

382 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$0

222 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.76