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

⚖️ Compare🖨️ Print Report

PHILHAVEN

Clinic/Center·LEBANON, PA·NPI: 1508081639Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.8M is at the 25th percentile among 13 Clinic/Center providers.

Active Billing Period:2020-09→2024-12(52 months)

Total Paid

$19.8M

$19,787,982

Total Claims

149K

Beneficiaries

27K

5.5 claims/patient

Avg Cost/Claim

$133

Monthly Spending Trend

Yearly Spending

2020
$33K
+3085%
2021
$1.1M
+398%
2022
$5.2M
+39%
2023
$7.3M
-15%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 32% of total spending.

H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$6.3M

37K claims · 31.8%

Your Cost: $167.83/claim|Median: $74.63
2.2× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$3.6M

26K claims · 18.3%

Your Cost: $140.56/claim|Median: $146.45
1.0× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$3.3M

30K claims · 16.9%

Your Cost: $110.18/claim|Median: $167.38
0.7× median
H2021Normal range

Community-based wrap-around services, per 15 min

$3.3M

32K claims · 16.7%

Your Cost: $104.50/claim|Median: $169.11
0.6× median
97154Top 5%

Group adaptive behavior treatment, per 15 min

$1.3M

5,127 claims · 6.6%

Your Cost: $252.92/claim|Median: $55.95
4.5× median
97151Normal range

Behavior identification assessment

$669K

3,783 claims · 3.4%

Your Cost: $176.96/claim|Median: $161.10
1.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$521K

8,223 claims · 2.6%

Your Cost: $63.42/claim|Median: $84.12
0.8× median
97156Top 25%

$392K

3,175 claims · 2.0%

Your Cost: $123.51/claim|Median: $88.65
1.4× median
90791Top 25%

Psychiatric diagnostic evaluation

$195K

1,293 claims · 1.0%

Your Cost: $150.88/claim|Median: $99.21
1.5× median
T1016Normal range

Case management, each 15 min

$65K

761 claims · 0.3%

Your Cost: $85.34/claim|Median: $49.62
1.7× median
97158Normal range

$38K

339 claims · 0.2%

Your Cost: $112.81/claim|Median: $56.17
2.0× median
H0031Normal range

Mental health assessment by non-physician

$33K

562 claims · 0.2%

Your Cost: $58.94/claim|Median: $96.18
0.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$13K

679 claims · 0.1%

Your Cost: $19.39/claim|Median: $96.24
0.2× median
H0032Normal range

Mental health service plan development

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.64
H0046Normal range

Mental health services, not otherwise specified

$0

85 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.02

Other Top Providers in Pennsylvania

View all →

Zoll Services LLC

Durable Medical Equipment & Medical Supplies

$504.0M

Commonwealth of Pennsylvania Department of Education

Local Education Agency (LEA)

$326.0M

Excel Copmanion Care INC

Home Health

$308.4M

Childrens Hospital of Philadelphia

General Acute Care Hospital Children

$286.9M

Procare Pharmacy Direct, Llc.

Pharmacy, Community/Retail Pharmacy

$227.3M

Similar Providers

Other top providers in Clinic/Center

Children's Hospital Corporation

Boston, MA

$330.8M

County of Santa Cruz

Santa Cruz, CA

$276.3M

Northern Valley Indian Health INC

Willows, CA

$217.1M

Upmc Presbyterian Shadyside

Pittsburgh, PA

$125.5M

← All providersAll providers in Pennsylvania →How we detect fraud →