OIG EXCLUDED — This provider appears on the federal exclusion list
Paradigm Shift Health Services
Compared to Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers
Total spending distribution among 15 providers in this specialty
This provider's total spending of $727K is at the below 25th percentile among 15 Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.
Total Paid
$727K
$727,237
Total Claims
6,820
Beneficiaries
2,163
3.2 claims/patient
Avg Cost/Claim
$107
🔍 Analysis
Provider Overview
Paradigm Shift Health Services is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider based in Las Vegas, NV. From 2019-04 through 2019-09, this provider received $727K in Medicaid payments across 7K claims serving 2K beneficiaries, billing 7 distinct procedure codes.
Key Findings
- 📊Billing stopped in 2019-09, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (H2011 (Crisis intervention service, per 15 minutes)) accounts for 55% of total spending.
$398K
1,724 claims
$230.61
$215.80
Crisis intervention service, per 15 minutes
$398K
1,724 claims · 54.7%
$252K
3,110 claims · 34.6%
Psychotherapy, 60 minutes
$44K
794 claims · 6.0%
Group psychotherapy
$13K
800 claims · 1.8%
$13K
182 claims
$68.82
$77.33
Family psychotherapy with patient, 50 min
$13K
182 claims · 1.7%
$8K
143 claims
$54.90
$96.18
Mental health assessment by non-physician
$8K
143 claims · 1.1%
Health behavior assessment, initial
$478
67 claims · 0.1%
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