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NORTH COUNTRY TRANSITIONAL LIVING SERVICES, INC

Community Based Residential Treatment Facility, Mental Illness·WATERTOWN, NY·NPI: 1538294699Share

Compared to Community Based Residential Treatment Facility, Mental Illness Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.2M is at the 50th percentile among 5 Community Based Residential Treatment Facility, Mental Illness providers.

Active Billing Period:2018-10→2024-06(69 months)

Total Paid

$25.2M

$25,182,957

Total Claims

40K

Beneficiaries

30K

1.3 claims/patient

Avg Cost/Claim

$634

Monthly Spending Trend

Yearly Spending

2018
$250K
+1152%
2019
$3.1M
+27%
2020
$4.0M
+28%
2021
$5.1M
+5%
2022
$5.3M
-4%
2023
$5.1M
-55%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H2018 (Psychosocial rehabilitation services, per diem)) accounts for 85% of total spending.

H2018Top 5%

Psychosocial rehabilitation services, per diem

$21.4M

5,173 claims · 84.9%

Your Cost: $4,130.66/claim|Median: $392.63
10.5× median
90834Top 10%

Psychotherapy, 45 minutes

$1.4M

11K claims · 5.6%

Your Cost: $126.24/claim|Median: $63.65
2.0× median
90832Top 10%

Psychotherapy, 30 minutes

$630K

6,751 claims · 2.5%

Your Cost: $93.27/claim|Median: $41.28
2.3× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$483K

5,812 claims · 1.9%

Your Cost: $83.18/claim|Median: $91.63
0.9× median
99213Top 5%

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

$261K

2,752 claims · 1.0%

Your Cost: $95.01/claim|Median: $37.81
2.5× median
99212Top 10%

Office/outpatient visit, low complexity

$227K

2,425 claims · 0.9%

Your Cost: $93.60/claim|Median: $25.06
3.7× median
99214Top 25%

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

$223K

2,297 claims · 0.9%

Your Cost: $97.02/claim|Median: $53.41
1.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$192K

1,233 claims · 0.8%

Your Cost: $156.11/claim|Median: $99.21
1.6× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$182K

994 claims · 0.7%

Your Cost: $183.26/claim|Median: $108.91
1.7× median
T2022Normal range

Case management, per month

$132K

554 claims · 0.5%

Your Cost: $238.21/claim|Median: $202.77
1.2× median
S5151Normal range

Unskilled respite care, per diem

$40K

164 claims · 0.2%

Your Cost: $246.25/claim|Median: $249.18
1.0× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$18K

229 claims · 0.1%

Your Cost: $76.70/claim|Median: $76.05
1.0× median
H2010Normal range

Comprehensive medication services, per 15 min

$6K

90 claims · 0.0%

Your Cost: $64.78/claim|Median: $62.69
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$2K

17 claims · 0.0%

Your Cost: $90.52/claim|Median: $76.61
1.2× median

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