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HIGHLAND RIVERS COMMUNITY SERVICE BOARD

Community/Behavioral Health·DALTON, GA·NPI: 1447256243Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$44.0M

$44,029,904

Total Claims

549K

Beneficiaries

233K

2.4 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$5.8M
+8%
2019
$6.3M
-21%
2020
$5.0M
+10%
2021
$5.4M
+28%
2022
$7.0M
+13%
2023
$7.9M
-16%
2024
$6.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 39 distinct procedure codes. The top code (T2017 (Habilitation, residential, waiver; 15 min)) accounts for 20% of total spending.

T2017Normal range

Habilitation, residential, waiver; 15 min

$9.0M

66K claims · 20.5%

Your Cost: $135.98/claim|Median: $137.32
1.0× median
T2025Normal range

Waiver services, NOS; per 15 min

$4.3M

57K claims · 9.9%

Your Cost: $75.90/claim|Median: $124.39
0.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$3.5M

64K claims · 7.9%

Your Cost: $53.80/claim|Median: $55.04
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$3.1M

24K claims · 7.1%

Your Cost: $128.72/claim|Median: $24.24
5.3× median
90837Normal range

Psychotherapy, 60 minutes

$3.1M

39K claims · 7.1%

Your Cost: $80.21/claim|Median: $85.66
0.9× median
T2033Normal range

Residential care, NOS; per diem

$2.5M

12K claims · 5.7%

Your Cost: $206.53/claim|Median: $1,051.57
0.2× median
H0039Normal range

Assertive community treatment, per diem

$2.4M

25K claims · 5.4%

Your Cost: $93.64/claim|Median: $132.62
0.7× median
T1016Normal range

Case management, each 15 min

$2.2M

29K claims · 4.9%

Your Cost: $75.61/claim|Median: $49.62
1.5× median
H0031Normal range

Mental health assessment by non-physician

$2.1M

18K claims · 4.8%

Your Cost: $116.47/claim|Median: $96.18
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$1.5M

23K claims · 3.3%

Your Cost: $65.24/claim|Median: $63.65
1.0× median
99214Normal range

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

$1.4M

24K claims · 3.2%

Your Cost: $57.79/claim|Median: $53.41
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.3M

21K claims · 3.0%

Your Cost: $61.77/claim|Median: $91.63
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.1M

10K claims · 2.6%

Your Cost: $108.58/claim|Median: $108.91
1.0× median
T2028Normal range

Specialized supply, NOS; per unit

$1.0M

7,472 claims · 2.4%

Your Cost: $139.19/claim|Median: $79.30
1.8× median
99213Normal range

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

$1.0M

24K claims · 2.3%

Your Cost: $43.57/claim|Median: $37.81
1.2× median
T1002Normal range

RN services, per 15 minutes

$574K

12K claims · 1.3%

Your Cost: $47.97/claim|Median: $37.42
1.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$540K

12K claims · 1.2%

Your Cost: $43.68/claim|Median: $74.63
0.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$508K

8,881 claims · 1.2%

Your Cost: $57.19/claim|Median: $96.24
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$463K

6,649 claims · 1.1%

Your Cost: $69.67/claim|Median: $74.09
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$425K

13K claims · 1.0%

Your Cost: $33.80/claim|Median: $41.28
0.8× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$402K

4,779 claims · 0.9%

Your Cost: $84.10/claim|Median: $49.05
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$351K

12K claims · 0.8%

Your Cost: $28.43/claim|Median: $25.06
1.1× median
H0032Normal range

Mental health service plan development

$335K

4,545 claims · 0.8%

Your Cost: $73.78/claim|Median: $80.64
0.9× median
H0015Normal range

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

$205K

3,007 claims · 0.5%

Your Cost: $68.14/claim|Median: $129.75
0.5× median
90833Normal range

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

$203K

6,016 claims · 0.5%

Your Cost: $33.79/claim|Median: $38.83
0.9× median
Q3014Normal range

Telehealth originating site facility fee

$110K

8,057 claims · 0.2%

Your Cost: $13.65/claim|Median: $15.37
0.9× median
H2014Normal range

Skills training & development, per 15 min

$92K

3,071 claims · 0.2%

Your Cost: $29.93/claim|Median: $83.88
0.4× median
90847Normal range

Family psychotherapy with patient, 50 min

$75K

1,001 claims · 0.2%

Your Cost: $75.18/claim|Median: $77.33
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$63K

2,696 claims · 0.1%

Your Cost: $23.23/claim|Median: $99.21
0.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$22K

957 claims · 0.0%

Your Cost: $22.91/claim|Median: $9.56
2.4× median
H0018Normal range

Behavioral health; short-term residential, per diem

$12K

122 claims · 0.0%

Your Cost: $97.75/claim|Median: $467.51
0.2× median
90785Normal range

$9K

2,252 claims · 0.0%

Your Cost: $3.88/claim|Median: $6.43
0.6× median
H0025Normal range

Behavioral health prevention education, per session

$7K

114 claims · 0.0%

Your Cost: $60.66/claim|Median: $36.25
1.7× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$6K

68 claims · 0.0%

Your Cost: $90.00/claim|Median: $121.16
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$4K

341 claims · 0.0%

Your Cost: $13.05/claim|Median: $12.93
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$3K

52 claims · 0.0%

Your Cost: $53.53/claim|Median: $76.61
0.7× median
90853Normal range

Group psychotherapy

$2K

718 claims · 0.0%

Your Cost: $2.75/claim|Median: $25.02
0.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$0

337 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.55
99442Normal range

Telephone E/M by physician, 11-20 minutes

$0

715 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.44

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$2.68B

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$2.25B

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$1.73B

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