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EL DORADO COUNTY

Clinic/Center, Mental Health (Including Community Mental Health Center)·DIAMOND SPRINGS, CA·NPI: 1518178193Share

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 $78.9M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-10(82 months)

Total Paid

$78.9M

$78,871,431

Total Claims

463K

Beneficiaries

100K

4.6 claims/patient

Avg Cost/Claim

$170

Monthly Spending Trend

Yearly Spending

2018
$9.7M
+3%
2019
$9.9M
-3%
2020
$9.7M
+9%
2021
$10.6M
-4%
2022
$10.1M
+68%
2023
$17.0M
-29%
2024
$12.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 32 distinct procedure codes. The top code (H2013 (Psychiatric health facility service, per diem)) accounts for 27% of total spending.

H2013Normal range

Psychiatric health facility service, per diem

$21.7M

20K claims · 27.5%

Your Cost: $1,088.55/claim|Median: $841.93
1.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$19.8M

126K claims · 25.1%

Your Cost: $157.18/claim|Median: $96.24
1.6× median
T1017Normal range

Targeted case management, per 15 min

$9.1M

81K claims · 11.5%

Your Cost: $112.29/claim|Median: $69.56
1.6× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$8.8M

52K claims · 11.1%

Your Cost: $169.58/claim|Median: $91.63
1.9× median
H2010Normal range

Comprehensive medication services, per 15 min

$5.0M

27K claims · 6.3%

Your Cost: $184.70/claim|Median: $62.69
2.9× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$4.4M

8,640 claims · 5.6%

Your Cost: $511.41/claim|Median: $215.80
2.4× median
H0020Normal range

Alcohol/drug services; methadone administration

$1.5M

95K claims · 1.9%

Your Cost: $15.90/claim|Median: $18.95
0.8× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$1.4M

13K claims · 1.8%

Your Cost: $111.13/claim|Median: $74.63
1.5× median
90837Top 1%

Psychotherapy, 60 minutes

$1.3M

3,843 claims · 1.6%

Your Cost: $336.77/claim|Median: $85.66
3.9× median
H0032Top 25%

Mental health service plan development

$984K

5,477 claims · 1.2%

Your Cost: $179.61/claim|Median: $80.64
2.2× median
H0019Normal range

Behavioral health; residential, per diem

$894K

7,302 claims · 1.1%

Your Cost: $122.40/claim|Median: $357.16
0.3× median
90834Top 5%

Psychotherapy, 45 minutes

$625K

2,367 claims · 0.8%

Your Cost: $263.89/claim|Median: $63.65
4.1× median
G2212Normal range

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

$603K

2,880 claims · 0.8%

Your Cost: $209.31/claim|Median: $72.96
2.9× median
99215Top 1%

Office/outpatient visit, high complexity

$522K

514 claims · 0.7%

Your Cost: $1,016.16/claim|Median: $74.09
13.7× median
H0005Normal range

Alcohol and/or drug services, group counseling

$375K

7,126 claims · 0.5%

Your Cost: $52.68/claim|Median: $47.35
1.1× median
H2000Top 25%

Comprehensive multidisciplinary evaluation

$339K

1,564 claims · 0.4%

Your Cost: $216.76/claim|Median: $114.71
1.9× median
99214Top 1%

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

$239K

338 claims · 0.3%

Your Cost: $706.35/claim|Median: $53.41
13.2× median
90791Normal range

Psychiatric diagnostic evaluation

$202K

2,041 claims · 0.3%

Your Cost: $98.80/claim|Median: $99.21
1.0× median
H0033Normal range

Oral medication administration, direct observation

$184K

1,468 claims · 0.2%

Your Cost: $125.31/claim|Median: $31.37
4.0× median
H0015Normal range

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

$175K

2,977 claims · 0.2%

Your Cost: $58.93/claim|Median: $129.75
0.5× median
90832Top 5%

Psychotherapy, 30 minutes

$165K

978 claims · 0.2%

Your Cost: $169.03/claim|Median: $41.28
4.1× median
90847Top 5%

Family psychotherapy with patient, 50 min

$150K

496 claims · 0.2%

Your Cost: $301.93/claim|Median: $77.33
3.9× median
99205Top 1%

Office/outpatient visit, new patient, high complexity

$134K

86 claims · 0.2%

Your Cost: $1,558.75/claim|Median: $111.09
14.0× median
99213Top 1%

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

$105K

208 claims · 0.1%

Your Cost: $506.09/claim|Median: $37.81
13.4× median
H2014Normal range

Skills training & development, per 15 min

$104K

838 claims · 0.1%

Your Cost: $124.05/claim|Median: $83.88
1.5× median
90885Top 25%

$21K

237 claims · 0.0%

Your Cost: $88.90/claim|Median: $59.45
1.5× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$21K

55 claims · 0.0%

Your Cost: $382.99/claim|Median: $150.51
2.5× median
H0031Top 25%

Mental health assessment by non-physician

$17K

84 claims · 0.0%

Your Cost: $206.40/claim|Median: $96.18
2.1× median
G0397Top 25%

$12K

38 claims · 0.0%

Your Cost: $302.97/claim|Median: $142.31
2.1× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$11K

81 claims · 0.0%

Your Cost: $138.43/claim|Median: $9.56
14.5× median
H0006Normal range

Alcohol and/or drug services, case management

$9K

137 claims · 0.0%

Your Cost: $68.06/claim|Median: $43.10
1.6× median
99484Top 5%

$9K

19 claims · 0.0%

Your Cost: $465.30/claim|Median: $7.13
65.3× median