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TRANSITIONS, INC.

Substance Abuse Rehabilitation Facility·ERLANGER, KY·NPI: 1528466877Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.4M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.4M

$31,354,618

Total Claims

193K

Beneficiaries

26K

7.4 claims/patient

Avg Cost/Claim

$163

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+338%
2019
$5.8M
+34%
2020
$7.7M
-30%
2021
$5.4M
-10%
2022
$4.9M
-29%
2023
$3.4M
-16%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0011 (Alcohol and/or drug services, acute detoxification, per diem)) accounts for 62% of total spending.

H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$19.6M

76K claims · 62.4%

Your Cost: $258.35/claim|Median: $317.54
0.8× median
H0018Normal range

Behavioral health; short-term residential, per diem

$7.1M

51K claims · 22.6%

Your Cost: $139.41/claim|Median: $467.51
0.3× median
H2036Normal range

Alcohol/drug treatment, per hour

$1.2M

6,513 claims · 4.0%

Your Cost: $190.68/claim|Median: $253.79
0.8× median
H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$833K

3,260 claims · 2.7%

Your Cost: $255.48/claim|Median: $164.03
1.6× median
H0015Normal range

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

$832K

9,747 claims · 2.7%

Your Cost: $85.37/claim|Median: $129.75
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$670K

28K claims · 2.1%

Your Cost: $23.95/claim|Median: $55.04
0.4× median
T2023Normal range

Community transition, waiver; per service

$552K

2,744 claims · 1.8%

Your Cost: $201.01/claim|Median: $300.13
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$337K

6,497 claims · 1.1%

Your Cost: $51.95/claim|Median: $99.21
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$79K

2,238 claims · 0.3%

Your Cost: $35.13/claim|Median: $85.66
0.4× median
T1007Normal range

Alcohol/drug services, treatment plan review

$53K

1,151 claims · 0.2%

Your Cost: $46.11/claim|Median: $64.10
0.7× median
H0001Normal range

Alcohol and/or drug assessment

$36K

1,019 claims · 0.1%

Your Cost: $35.64/claim|Median: $94.22
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$25K

1,255 claims · 0.1%

Your Cost: $20.26/claim|Median: $41.28
0.5× median
90853Normal range

Group psychotherapy

$10K

960 claims · 0.0%

Your Cost: $10.55/claim|Median: $25.02
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$9K

275 claims · 0.0%

Your Cost: $32.59/claim|Median: $63.65
0.5× median
S9446Normal range

$1K

2,319 claims · 0.0%

Your Cost: $0.47/claim|Median: $13.66
0.0× median

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$419.6M

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Cumberland River Behavioral Health INC

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$349.2M

Addiction Recovery Care LLC

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$309.0M

Similar Providers

Other top providers in Substance Abuse Rehabilitation Facility

Nu-way House INC

Minneapolis, MN

$200.3M

Samaritan Daytop Village Inc.

Richmond Hill, NY

$191.8M

Helio Health Inc.

Syracuse, NY

$162.9M

Pyramid Health Care Inc.

Wilkinsburg, PA

$128.8M

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