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COUNTY OF MONTEREY

Clinic/Center, Adult Mental Health·SALINAS, CA·NPI: 1467584805Share

Compared to Clinic/Center, Adult Mental Health Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $74.8M is at the 50th percentile among 10 Clinic/Center, Adult Mental Health providers.

Active Billing Period:2018-012024-05(77 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$74.8M

$74,842,627

Total Claims

219K

Beneficiaries

124K

1.8 claims/patient

Avg Cost/Claim

$342

Monthly Spending Trend

Yearly Spending

2018
$10.0M
-3%
2019
$9.8M
+23%
2020
$12.0M
-5%
2021
$11.4M
+29%
2022
$14.8M
-18%
2023
$12.1M
-61%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 34% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$25.2M

102K claims · 33.7%

Your Cost: $247.37/claim|Median: $69.56
3.6× median
H2010Top 10%

Comprehensive medication services, per 15 min

$19.3M

44K claims · 25.7%

Your Cost: $437.59/claim|Median: $62.69
7.0× median
H2015Top 5%

Comprehensive community support services, per 15 min

$13.8M

28K claims · 18.5%

Your Cost: $499.11/claim|Median: $96.24
5.2× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$6.1M

22K claims · 8.1%

Your Cost: $274.14/claim|Median: $91.63
3.0× median
H0032Top 1%

Mental health service plan development

$2.5M

5,485 claims · 3.4%

Your Cost: $463.97/claim|Median: $80.64
5.8× median
99215Top 1%

Office/outpatient visit, high complexity

$1.9M

1,836 claims · 2.6%

Your Cost: $1,054.14/claim|Median: $74.09
14.2× median
99214Top 1%

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

$1.6M

1,987 claims · 2.1%

Your Cost: $807.47/claim|Median: $53.41
15.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.4M

4,417 claims · 1.9%

Your Cost: $318.07/claim|Median: $215.80
1.5× median
99213Top 1%

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

$796K

1,361 claims · 1.1%

Your Cost: $585.12/claim|Median: $37.81
15.5× median
G2212Top 25%

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

$668K

1,802 claims · 0.9%

Your Cost: $370.50/claim|Median: $72.96
5.1× median
90837Top 1%

Psychotherapy, 60 minutes

$431K

1,128 claims · 0.6%

Your Cost: $382.30/claim|Median: $85.66
4.5× median
H0034Top 25%

Medication training and management, per 15 min

$350K

1,925 claims · 0.5%

Your Cost: $181.78/claim|Median: $56.90
3.2× median
99212Top 1%

Office/outpatient visit, low complexity

$238K

663 claims · 0.3%

Your Cost: $358.82/claim|Median: $25.06
14.3× median
90791Normal range

Psychiatric diagnostic evaluation

$118K

1,323 claims · 0.2%

Your Cost: $88.99/claim|Median: $99.21
0.9× median
H0031Top 10%

Mental health assessment by non-physician

$101K

335 claims · 0.1%

Your Cost: $301.53/claim|Median: $96.18
3.1× median
90834Top 1%

Psychotherapy, 45 minutes

$82K

268 claims · 0.1%

Your Cost: $306.41/claim|Median: $63.65
4.8× median
90887Top 5%

Interpretation/explanation of results

$67K

202 claims · 0.1%

Your Cost: $331.89/claim|Median: $47.55
7.0× median
90832Top 5%

Psychotherapy, 30 minutes

$13K

89 claims · 0.0%

Your Cost: $149.26/claim|Median: $41.28
3.6× median
90839Top 5%

Psychotherapy for crisis, first 60 min

$8K

29 claims · 0.0%

Your Cost: $266.42/claim|Median: $83.98
3.2× median
90833Top 1%

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

$7K

12 claims · 0.0%

Your Cost: $558.50/claim|Median: $38.83
14.4× median
99368Top 10%

$5K

14 claims · 0.0%

Your Cost: $387.60/claim|Median: $19.67
19.7× median
T1013Top 10%

Sign language or oral interpretive services, per 15 minutes

$5K

64 claims · 0.0%

Your Cost: $73.13/claim|Median: $17.67
4.1× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$1K

13 claims · 0.0%

Your Cost: $100.96/claim|Median: $3.67
27.5× median
90785Top 5%

$462

30 claims · 0.0%

Your Cost: $15.40/claim|Median: $6.43
2.4× median