OIG EXCLUDED — This provider appears on the federal exclusion list
Brooks Behavioral Health Center LLC
Compared to Community/Behavioral Health Peers
Total spending distribution among 218 providers in this specialty
This provider's total spending of $1.6M is at the below 25th percentile among 218 Community/Behavioral Health providers.
Total Paid
$1.6M
$1,583,157
Total Claims
7,567
Beneficiaries
1,990
3.8 claims/patient
Avg Cost/Claim
$209
🔍 Analysis
Provider Overview
Brooks Behavioral Health Center LLC is a Community/Behavioral Health provider based in North Las Vegas, NV. From 2018-01 through 2019-04, this provider received $1.6M in Medicaid payments across 8K claims serving 2K beneficiaries, billing 10 distinct procedure codes.
Key Findings
- 📊Bills 4.3× the national median for H2011 (H2011), at $919 per claim vs. the median of $216. This places them well above the 99th percentile nationally.
- 📊Billing stopped in 2019-04, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Why This Matters
This provider received $1.6M in Medicaid payments. While not among the largest billers, unusual patterns in providers of this size can still indicate systemic issues worth monitoring.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 10 distinct procedure codes. The top code (H2011 (Crisis intervention service, per 15 minutes)) accounts for 59% of total spending.
$934K
1,016 claims
$919.03
$215.80
Crisis intervention service, per 15 minutes
$934K
1,016 claims · 59.0%
$451K
3,423 claims
$131.66
$135.70
Intensive outpatient psychiatric services, per diem
$451K
3,423 claims · 28.5%
$117K
1,365 claims · 7.4%
$25K
90 claims · 1.6%
Psychotherapy, 60 minutes
$21K
324 claims · 1.3%
Psychotherapy, 30 minutes
$13K
311 claims · 0.8%
$12K
526 claims
$21.89
$15.37
Telehealth originating site facility fee
$12K
526 claims · 0.7%
Group psychotherapy
$10K
410 claims · 0.6%
Psychiatric diagnostic evaluation
$1K
14 claims · 0.1%
$383
88 claims · 0.0%
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