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LOURDES HOSPITAL LLC

Psychiatric Hospital·RICHLAND, WA·NPI: 1548342181Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$22.4M

$22,378,000

Total Claims

333K

Beneficiaries

158K

2.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$105K
+3260%
2019
$3.5M
-1%
2020
$3.5M
-13%
2021
$3.1M
-46%
2022
$1.6M
+200%
2023
$4.9M
+14%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 18% of total spending.

99214Top 25%

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

$4.0M

46K claims · 17.7%

Your Cost: $85.75/claim|Median: $53.41
1.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$3.8M

38K claims · 17.1%

Your Cost: $99.90/claim|Median: $74.63
1.3× median
S9485Normal range

Crisis intervention mental health services, per diem

$3.2M

7,558 claims · 14.4%

Your Cost: $426.52/claim|Median: $501.33
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.8M

41K claims · 12.7%

Your Cost: $69.50/claim|Median: $96.24
0.7× median
H0018Normal range

Behavioral health; short-term residential, per diem

$2.0M

9,013 claims · 9.0%

Your Cost: $223.13/claim|Median: $467.51
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$1.1M

15K claims · 4.9%

Your Cost: $73.22/claim|Median: $85.66
0.9× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$1.1M

13K claims · 4.9%

Your Cost: $85.39/claim|Median: $49.05
1.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$1.0M

7,317 claims · 4.5%

Your Cost: $137.23/claim|Median: $99.21
1.4× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$485K

8,521 claims · 2.2%

Your Cost: $56.88/claim|Median: $9.56
5.9× median
H0033Normal range

Oral medication administration, direct observation

$416K

25K claims · 1.9%

Your Cost: $16.62/claim|Median: $31.37
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$295K

3,098 claims · 1.3%

Your Cost: $95.32/claim|Median: $108.91
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$285K

11K claims · 1.3%

Your Cost: $26.06/claim|Median: $35.30
0.7× median
96165Top 10%

Health behavior intervention, family, each additional fifteen minutes

$282K

2,913 claims · 1.3%

Your Cost: $96.74/claim|Median: $15.54
6.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$227K

9,071 claims · 1.0%

Your Cost: $25.04/claim|Median: $55.04
0.5× median
H2036Normal range

Alcohol/drug treatment, per hour

$204K

10K claims · 0.9%

Your Cost: $19.79/claim|Median: $253.79
0.1× median
H0046Normal range

Mental health services, not otherwise specified

$197K

12K claims · 0.9%

Your Cost: $15.95/claim|Median: $85.02
0.2× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$172K

8,906 claims · 0.8%

Your Cost: $19.34/claim|Median: $53.97
0.4× median
99213Normal range

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

$109K

3,524 claims · 0.5%

Your Cost: $31.02/claim|Median: $37.81
0.8× median
96164Top 5%

$103K

2,945 claims · 0.5%

Your Cost: $34.86/claim|Median: $9.87
3.5× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$98K

21K claims · 0.4%

Your Cost: $4.60/claim|Median: $76.05
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$67K

1,117 claims · 0.3%

Your Cost: $60.18/claim|Median: $63.65
0.9× median
H0031Normal range

Mental health assessment by non-physician

$66K

1,200 claims · 0.3%

Your Cost: $55.38/claim|Median: $96.18
0.6× median
90853Top 25%

Group psychotherapy

$59K

1,217 claims · 0.3%

Your Cost: $48.35/claim|Median: $25.02
1.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$54K

4,695 claims · 0.2%

Your Cost: $11.59/claim|Median: $12.93
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$43K

1,055 claims · 0.2%

Your Cost: $41.08/claim|Median: $41.28
1.0× median
J2426Normal range

$40K

143 claims · 0.2%

Your Cost: $281.65/claim|Median: $625.59
0.5× median
S9446Normal range

$29K

3,483 claims · 0.1%

Your Cost: $8.21/claim|Median: $13.66
0.6× median
96153Top 25%

Health/behavior intervention, group

$25K

1,120 claims · 0.1%

Your Cost: $22.40/claim|Median: $6.67
3.4× median
99215Normal range

Office/outpatient visit, high complexity

$19K

694 claims · 0.1%

Your Cost: $27.65/claim|Median: $74.09
0.4× median
99212Top 10%

Office/outpatient visit, low complexity

$11K

130 claims · 0.1%

Your Cost: $86.74/claim|Median: $25.06
3.5× median
H0001Normal range

Alcohol and/or drug assessment

$8K

114 claims · 0.0%

Your Cost: $69.72/claim|Median: $94.22
0.7× median
J0401Normal range

$5K

77 claims · 0.0%

Your Cost: $70.36/claim|Median: $714.38
0.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$5K

153 claims · 0.0%

Your Cost: $33.49/claim|Median: $43.85
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$4K

72 claims · 0.0%

Your Cost: $60.08/claim|Median: $84.03
0.7× median
99348Normal range

$3K

170 claims · 0.0%

Your Cost: $20.41/claim|Median: $17.17
1.2× median
80306Normal range

$3K

407 claims · 0.0%

Your Cost: $8.18/claim|Median: $10.29
0.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$2K

196 claims · 0.0%

Your Cost: $12.61/claim|Median: $35.43
0.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$2K

16K claims · 0.0%

Your Cost: $0.15/claim|Median: $215.80
0.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2K

58 claims · 0.0%

Your Cost: $32.52/claim|Median: $23.99
1.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$851

43 claims · 0.0%

Your Cost: $19.79/claim|Median: $37.22
0.5× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$773

69 claims · 0.0%

Your Cost: $11.20/claim|Median: $81.37
0.1× median
36415Top 5%

Collection of venous blood by venipuncture

$506

58 claims · 0.0%

Your Cost: $8.73/claim|Median: $1.57
5.6× median
99075Normal range

$225

86 claims · 0.0%

Your Cost: $2.62/claim|Median: $1.88
1.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$218

48 claims · 0.0%

Your Cost: $4.53/claim|Median: $9.87
0.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$110

15 claims · 0.0%

Your Cost: $7.32/claim|Median: $22.44
0.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$87

42 claims · 0.0%

Your Cost: $2.07/claim|Median: $4.71
0.4× median
H2023Normal range

Supported employment, per 15 min

$71

187 claims · 0.0%

Your Cost: $0.38/claim|Median: $103.94
0.0× median
80053Normal range

Comprehensive metabolic panel

$68

48 claims · 0.0%

Your Cost: $1.42/claim|Median: $7.24
0.2× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$0

170 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.67
T2038Normal range

Community transition, waiver; per service

$0

20 claims · 0.0%

Your Cost: $0.00/claim|Median: $531.12

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