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BEHAVIORAL HEALTH NETWORK, INC

Clinic/Center, Adult Day Care·SPRINGFIELD, MA·NPI: 1467507293Share

Compared to Clinic/Center, Adult Day Care Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $76.6M is at the 50th percentile among 5 Clinic/Center, Adult Day Care providers.

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

Total Paid

$76.6M

$76,560,650

Total Claims

916K

Beneficiaries

205K

4.5 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$9.2M
-2%
2019
$9.0M
-47%
2020
$4.8M
+45%
2021
$6.9M
+49%
2022
$10.3M
+79%
2023
$18.5M
-3%
2024
$17.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 45 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 19% of total spending.

G2067Top 25%

Medication-assisted treatment, opioid use disorder, per month

$14.3M

75K claims · 18.7%

Your Cost: $190.82/claim|Median: $73.29
2.6× median
H0019Normal range

Behavioral health; residential, per diem

$13.7M

81K claims · 17.8%

Your Cost: $169.25/claim|Median: $357.16
0.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$6.9M

55K claims · 9.0%

Your Cost: $125.22/claim|Median: $96.24
1.3× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$5.7M

107K claims · 7.4%

Your Cost: $53.16/claim|Median: $53.97
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$5.5M

70K claims · 7.2%

Your Cost: $79.01/claim|Median: $63.65
1.2× median
S9485Normal range

Crisis intervention mental health services, per diem

$4.2M

6,825 claims · 5.5%

Your Cost: $617.45/claim|Median: $501.33
1.2× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$4.0M

32K claims · 5.2%

Your Cost: $124.96/claim|Median: $84.12
1.5× median
T1040Normal range

Medicaid certified CCBHC services

$3.8M

17K claims · 5.0%

Your Cost: $227.45/claim|Median: $130.29
1.7× median
H2011Normal range

Crisis intervention service, per 15 minutes

$2.6M

23K claims · 3.4%

Your Cost: $115.15/claim|Median: $215.80
0.5× median
H0020Normal range

Alcohol/drug services; methadone administration

$2.5M

169K claims · 3.3%

Your Cost: $14.95/claim|Median: $18.95
0.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$2.0M

111K claims · 2.6%

Your Cost: $17.85/claim|Median: $321.53
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$1.5M

18K claims · 2.0%

Your Cost: $83.16/claim|Median: $85.66
1.0× median
T1027Top 25%

Family training and counseling, per 15 minutes

$1.2M

13K claims · 1.6%

Your Cost: $98.65/claim|Median: $53.00
1.9× median
G2078Normal range

$1.2M

38K claims · 1.6%

Your Cost: $31.77/claim|Median: $27.04
1.2× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$1.1M

12K claims · 1.4%

Your Cost: $87.39/claim|Median: $266.41
0.3× median
H2014Normal range

Skills training & development, per 15 min

$1.0M

11K claims · 1.4%

Your Cost: $92.46/claim|Median: $83.88
1.1× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$807K

3,719 claims · 1.1%

Your Cost: $216.92/claim|Median: $119.08
1.8× median
90832Normal range

Psychotherapy, 30 minutes

$751K

15K claims · 1.0%

Your Cost: $51.65/claim|Median: $41.28
1.3× median
99214Normal range

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

$617K

14K claims · 0.8%

Your Cost: $43.23/claim|Median: $53.41
0.8× median
90882Normal range

Environmental intervention

$529K

10K claims · 0.7%

Your Cost: $51.45/claim|Median: $45.05
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$429K

3,710 claims · 0.6%

Your Cost: $115.70/claim|Median: $99.21
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$378K

4,566 claims · 0.5%

Your Cost: $82.70/claim|Median: $55.04
1.5× median
T1017Normal range

Targeted case management, per 15 min

$364K

2,643 claims · 0.5%

Your Cost: $137.73/claim|Median: $69.56
2.0× median
G2076Normal range

$324K

1,952 claims · 0.4%

Your Cost: $165.73/claim|Median: $275.92
0.6× median
90887Normal range

Interpretation/explanation of results

$270K

6,639 claims · 0.4%

Your Cost: $40.73/claim|Median: $47.55
0.9× median
99213Top 25%

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

$133K

2,371 claims · 0.2%

Your Cost: $55.98/claim|Median: $37.81
1.5× median
96153Top 5%

Health/behavior intervention, group

$119K

1,592 claims · 0.2%

Your Cost: $74.72/claim|Median: $6.67
11.2× median
H0046Normal range

Mental health services, not otherwise specified

$96K

2,515 claims · 0.1%

Your Cost: $38.32/claim|Median: $85.02
0.5× median
90853Normal range

Group psychotherapy

$80K

2,763 claims · 0.1%

Your Cost: $28.95/claim|Median: $25.02
1.2× median
99404Normal range

$79K

965 claims · 0.1%

Your Cost: $81.62/claim|Median: $104.92
0.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$67K

843 claims · 0.1%

Your Cost: $79.95/claim|Median: $77.33
1.0× median
H2012Normal range

Behavioral health day treatment, per hour

$46K

766 claims · 0.1%

Your Cost: $59.89/claim|Median: $137.86
0.4× median
H0031Top 25%

Mental health assessment by non-physician

$45K

293 claims · 0.1%

Your Cost: $153.83/claim|Median: $96.18
1.6× median
H0032Top 10%

Mental health service plan development

$45K

220 claims · 0.1%

Your Cost: $203.35/claim|Median: $80.64
2.5× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$33K

619 claims · 0.0%

Your Cost: $53.65/claim|Median: $15.54
3.5× median
90833Normal range

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

$33K

814 claims · 0.0%

Your Cost: $40.18/claim|Median: $38.83
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$30K

804 claims · 0.0%

Your Cost: $37.38/claim|Median: $74.09
0.5× median
96164Top 25%

$12K

654 claims · 0.0%

Your Cost: $17.66/claim|Median: $9.87
1.8× median
0031ATop 25%

COVID-19 vaccine admin, J&J, single dose

$5K

112 claims · 0.0%

Your Cost: $45.88/claim|Median: $32.49
1.4× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$5K

111 claims · 0.0%

Your Cost: $44.26/claim|Median: $25.93
1.7× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$4K

77 claims · 0.0%

Your Cost: $45.88/claim|Median: $33.85
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$3K

189 claims · 0.0%

Your Cost: $15.62/claim|Median: $108.91
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$3K

216 claims · 0.0%

Your Cost: $11.96/claim|Median: $9.56
1.3× median
T2025Normal range

Waiver services, NOS; per 15 min

$2K

46 claims · 0.0%

Your Cost: $33.33/claim|Median: $124.39
0.3× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$551

12 claims · 0.0%

Your Cost: $45.88/claim|Median: $33.72
1.4× median

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Similar Providers

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