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MIDDLE PENINSULA NORTHERN NECK MENTAL HEALTH & RETARDATION

Clinic/Center, Mental Health (Including Community Mental Health Center)·GLOUCESTER, VA·NPI: 1497717615Share

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 $68.0M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$68.0M

$67,958,812

Total Claims

337K

Beneficiaries

166K

2.0 claims/patient

Avg Cost/Claim

$201

Monthly Spending Trend

Yearly Spending

2018
$10.4M
+0%
2019
$10.4M
-11%
2020
$9.3M
+5%
2021
$9.8M
+4%
2022
$10.1M
-6%
2023
$9.5M
-13%
2024
$8.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 37 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 28% of total spending.

H0023Top 10%

Behavioral health outreach service, per 15 minutes

$19.3M

58K claims · 28.4%

Your Cost: $331.32/claim|Median: $53.97
6.1× median
H2022Top 5%

Community-based wrap-around services, per diem

$15.6M

2,267 claims · 23.0%

Your Cost: $6,886.62/claim|Median: $336.31
20.5× median
T1017Top 5%

Targeted case management, per 15 min

$9.8M

28K claims · 14.4%

Your Cost: $344.13/claim|Median: $69.56
4.9× median
H0046Normal range

Mental health services, not otherwise specified

$5.3M

55K claims · 7.8%

Your Cost: $95.71/claim|Median: $85.02
1.1× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$3.8M

45K claims · 5.6%

Your Cost: $84.61/claim|Median: $148.53
0.6× median
H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$2.8M

13K claims · 4.1%

Your Cost: $214.81/claim|Median: $129.75
1.7× median
H0040Normal range

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

$2.3M

13K claims · 3.3%

Your Cost: $178.47/claim|Median: $266.41
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$1.8M

20K claims · 2.7%

Your Cost: $91.55/claim|Median: $85.66
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.5M

32K claims · 2.2%

Your Cost: $47.06/claim|Median: $91.63
0.5× median
H0039Top 25%

Assertive community treatment, per diem

$1.2M

1,946 claims · 1.8%

Your Cost: $628.49/claim|Median: $132.62
4.7× median
T2023Normal range

Community transition, waiver; per service

$838K

3,264 claims · 1.2%

Your Cost: $256.62/claim|Median: $300.13
0.9× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$727K

978 claims · 1.1%

Your Cost: $743.34/claim|Median: $215.80
3.4× median
90791Normal range

Psychiatric diagnostic evaluation

$418K

4,221 claims · 0.6%

Your Cost: $98.97/claim|Median: $99.21
1.0× median
99213Normal range

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

$349K

9,202 claims · 0.5%

Your Cost: $37.89/claim|Median: $37.81
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$314K

4,987 claims · 0.5%

Your Cost: $63.00/claim|Median: $77.33
0.8× median
H2012Normal range

Behavioral health day treatment, per hour

$274K

2,471 claims · 0.4%

Your Cost: $110.79/claim|Median: $137.86
0.8× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$262K

1,739 claims · 0.4%

Your Cost: $150.56/claim|Median: $76.05
2.0× median
99490Top 5%

Chronic care management services, 20 minutes per month

$248K

4,376 claims · 0.4%

Your Cost: $56.59/claim|Median: $6.31
9.0× median
90834Normal range

Psychotherapy, 45 minutes

$233K

3,753 claims · 0.3%

Your Cost: $61.98/claim|Median: $63.65
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$199K

4,090 claims · 0.3%

Your Cost: $48.54/claim|Median: $41.28
1.2× median
99214Normal range

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

$183K

3,866 claims · 0.3%

Your Cost: $47.24/claim|Median: $53.41
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$164K

5,326 claims · 0.2%

Your Cost: $30.73/claim|Median: $25.06
1.2× median
A0120Normal range

Non-emergency mini-bus transport

$115K

7,404 claims · 0.2%

Your Cost: $15.50/claim|Median: $16.09
1.0× median
Q3014Top 25%

Telehealth originating site facility fee

$83K

3,759 claims · 0.1%

Your Cost: $22.13/claim|Median: $15.37
1.4× median
H0032Normal range

Mental health service plan development

$41K

820 claims · 0.1%

Your Cost: $49.71/claim|Median: $80.64
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$28K

3,501 claims · 0.0%

Your Cost: $8.09/claim|Median: $9.56
0.8× median
80305Normal range

$28K

3,697 claims · 0.0%

Your Cost: $7.52/claim|Median: $7.44
1.0× median
H0006Top 10%

Alcohol and/or drug services, case management

$18K

150 claims · 0.0%

Your Cost: $121.49/claim|Median: $43.10
2.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$6K

146 claims · 0.0%

Your Cost: $39.87/claim|Median: $35.43
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$5K

46 claims · 0.0%

Your Cost: $100.96/claim|Median: $74.09
1.4× median
90846Normal range

Family psychotherapy without patient, 50 min

$4K

61 claims · 0.0%

Your Cost: $64.61/claim|Median: $76.61
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$3K

61 claims · 0.0%

Your Cost: $57.15/claim|Median: $111.09
0.5× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$2K

13 claims · 0.0%

Your Cost: $161.93/claim|Median: $84.03
1.9× median
90853Normal range

Group psychotherapy

$2K

95 claims · 0.0%

Your Cost: $18.50/claim|Median: $25.02
0.7× median
90889Normal range

$1K

16 claims · 0.0%

Your Cost: $91.88/claim|Median: $56.63
1.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$584

117 claims · 0.0%

Your Cost: $4.99/claim|Median: $32.55
0.2× median
T2022Normal range

Case management, per month

$132

130 claims · 0.0%

Your Cost: $1.02/claim|Median: $202.77
0.0× median