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PROFESSIONAL CARE SERVICES OF WEST TN, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·COVINGTON, TN·NPI: 1457351215Share

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 $33.2M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$33.2M

$33,202,118

Total Claims

538K

Beneficiaries

347K

1.6 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$4.7M
-5%
2019
$4.5M
+6%
2020
$4.8M
-12%
2021
$4.2M
+7%
2022
$4.5M
+24%
2023
$5.6M
-12%
2024
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 31 distinct procedure codes. The top code (S0280 (Medical home program, comprehensive care management)) accounts for 50% of total spending.

S0280Top 25%

Medical home program, comprehensive care management

$16.6M

101K claims · 49.9%

Your Cost: $163.43/claim|Median: $48.38
3.4× median
H0043Normal range

Supported housing, per diem

$9.9M

118K claims · 29.7%

Your Cost: $83.65/claim|Median: $164.87
0.5× median
99213Normal range

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

$1.8M

46K claims · 5.5%

Your Cost: $39.54/claim|Median: $37.81
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$1.4M

23K claims · 4.2%

Your Cost: $62.49/claim|Median: $63.65
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$757K

17K claims · 2.3%

Your Cost: $43.81/claim|Median: $41.28
1.1× median
99214Normal range

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

$728K

15K claims · 2.2%

Your Cost: $49.51/claim|Median: $53.41
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$669K

8,185 claims · 2.0%

Your Cost: $81.75/claim|Median: $99.21
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$354K

5,027 claims · 1.1%

Your Cost: $70.48/claim|Median: $108.91
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$340K

4,152 claims · 1.0%

Your Cost: $81.90/claim|Median: $85.66
1.0× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$323K

4,603 claims · 1.0%

Your Cost: $70.11/claim|Median: $225.50
0.3× median
H0034Normal range

Medication training and management, per 15 min

$167K

3,945 claims · 0.5%

Your Cost: $42.36/claim|Median: $56.90
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$85K

3,557 claims · 0.3%

Your Cost: $23.99/claim|Median: $25.06
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$62K

793 claims · 0.2%

Your Cost: $78.25/claim|Median: $77.33
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$24K

5,886 claims · 0.1%

Your Cost: $4.11/claim|Median: $9.56
0.4× median
36415Normal range

Collection of venous blood by venipuncture

$8K

4,705 claims · 0.0%

Your Cost: $1.66/claim|Median: $1.57
1.1× median
90853Normal range

Group psychotherapy

$7K

355 claims · 0.0%

Your Cost: $19.47/claim|Median: $25.02
0.8× median
96130Normal range

Psychological testing evaluation by professional, first hour

$6K

82 claims · 0.0%

Your Cost: $68.98/claim|Median: $79.21
0.9× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$2K

87 claims · 0.0%

Your Cost: $20.61/claim|Median: $30.49
0.7× median
90846Normal range

Family psychotherapy without patient, 50 min

$2K

28 claims · 0.0%

Your Cost: $62.26/claim|Median: $76.61
0.8× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$986

54 claims · 0.0%

Your Cost: $18.26/claim|Median: $92.96
0.2× median
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$711

30K claims · 0.0%

Your Cost: $0.02/claim|Median: $47.08
0.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$211

14 claims · 0.0%

Your Cost: $15.06/claim|Median: $22.44
0.7× median
99441Normal range

Telephone E/M by physician, 5-10 min

$141

22 claims · 0.0%

Your Cost: $6.40/claim|Median: $13.30
0.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$58

12 claims · 0.0%

Your Cost: $4.86/claim|Median: $12.93
0.4× median
S9484Normal range

Crisis intervention mental health services, per hour

$3

1,051 claims · 0.0%

Your Cost: $0.00/claim|Median: $249.51
0.0× median
G9004Normal range

$0

30K claims · 0.0%

Your Cost: $0.00/claim|Median: $55.49
0.0× median
G9006Normal range

Coordination of long-term care services, per hour

$0

42K claims · 0.0%

Your Cost: $0.00/claim|Median: $204.93
0.0× median
80305Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.44
G9007Normal range

$0

1,302 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44
G9010Normal range

$0

70K claims · 0.0%

Your Cost: $0.00/claim|Median: $1,009.60
G9011Normal range

$0

2,016 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.92