Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

EAST BAY COMMUNITY ACTION PROGRAM

Clinic/Center, Mental Health (Including Community Mental Health Center)·RIVERSIDE, RI·NPI: 1487916136Share

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 $20.6M 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

$20.6M

$20,567,655

Total Claims

158K

Beneficiaries

66K

2.4 claims/patient

Avg Cost/Claim

$130

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-1%
2019
$2.7M
+4%
2020
$2.8M
+5%
2021
$2.9M
+17%
2022
$3.4M
-5%
2023
$3.2M
-15%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H0037 (Community psychiatric supportive treatment program, per diem)) accounts for 53% of total spending.

H0037Normal range

Community psychiatric supportive treatment program, per diem

$10.8M

27K claims · 52.5%

Your Cost: $402.03/claim|Median: $225.50
1.8× median
H0040Normal range

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

$5.0M

4,215 claims · 24.5%

Your Cost: $1,195.08/claim|Median: $266.41
4.5× median
H0019Top 10%

Behavioral health; residential, per diem

$4.4M

1,150 claims · 21.4%

Your Cost: $3,827.35/claim|Median: $357.16
10.7× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$182K

52K claims · 0.9%

Your Cost: $3.47/claim|Median: $76.05
0.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$98K

3,642 claims · 0.5%

Your Cost: $27.01/claim|Median: $55.04
0.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$19K

2,860 claims · 0.1%

Your Cost: $6.70/claim|Median: $12.93
0.5× median
H2023Normal range

Supported employment, per 15 min

$12K

232 claims · 0.1%

Your Cost: $53.86/claim|Median: $103.94
0.5× median
99213Normal range

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

$10K

635 claims · 0.1%

Your Cost: $16.37/claim|Median: $37.81
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$3K

53 claims · 0.0%

Your Cost: $63.85/claim|Median: $63.65
1.0× median
H0046Normal range

Mental health services, not otherwise specified

$487

66K claims · 0.0%

Your Cost: $0.01/claim|Median: $85.02
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$0

82 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.91
99214Normal range

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

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
G0470Normal range

Chronic care management services, FQHC/RHC

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.95