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SUNRISE BEHAVIORAL HEALTH CLINIC, LLC

Community/Behavioral Health·SPRINGFIELD, MA·NPI: 1538575295Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.1M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2019-09(21 months)
Billing appears to have stoppedLast active: 2019-09

Total Paid

$19.1M

$19,075,257

Total Claims

211K

Beneficiaries

85K

2.5 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$13.0M
-53%
2019
$6.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 37% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$7.1M

92K claims · 37.0%

Your Cost: $76.69/claim|Median: $85.66
0.9× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$6.1M

44K claims · 32.1%

Your Cost: $139.55/claim|Median: $84.12
1.7× median
T1027Top 10%

Family training and counseling, per 15 minutes

$1.7M

15K claims · 9.0%

Your Cost: $114.31/claim|Median: $53.00
2.2× median
90834Normal range

Psychotherapy, 45 minutes

$1.7M

26K claims · 9.0%

Your Cost: $65.22/claim|Median: $63.65
1.0× median
90882Top 25%

Environmental intervention

$602K

9,193 claims · 3.2%

Your Cost: $65.43/claim|Median: $45.05
1.5× median
99214Normal range

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

$574K

8,605 claims · 3.0%

Your Cost: $66.74/claim|Median: $53.41
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$325K

2,782 claims · 1.7%

Your Cost: $116.98/claim|Median: $99.21
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$323K

3,701 claims · 1.7%

Your Cost: $87.22/claim|Median: $77.33
1.1× median
99213Top 25%

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

$177K

3,114 claims · 0.9%

Your Cost: $56.70/claim|Median: $37.81
1.5× median
99404Normal range

$176K

1,240 claims · 0.9%

Your Cost: $142.22/claim|Median: $104.92
1.4× median
90887Normal range

Interpretation/explanation of results

$161K

2,591 claims · 0.8%

Your Cost: $62.26/claim|Median: $47.55
1.3× median
H0046Normal range

Mental health services, not otherwise specified

$43K

521 claims · 0.2%

Your Cost: $82.81/claim|Median: $85.02
1.0× median
90853Normal range

Group psychotherapy

$36K

1,301 claims · 0.2%

Your Cost: $27.38/claim|Median: $25.02
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$27K

637 claims · 0.1%

Your Cost: $42.64/claim|Median: $41.28
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$3K

17 claims · 0.0%

Your Cost: $152.13/claim|Median: $111.09
1.4× median

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