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QUALITY BEHAVIORAL HEALTH, INC.

Community/Behavioral Health·DETROIT, MI·NPI: 1558493916Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$38.8M

$38,750,993

Total Claims

502K

Beneficiaries

113K

4.4 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$5.4M
-10%
2019
$4.8M
+16%
2020
$5.6M
-5%
2021
$5.3M
+1%
2022
$5.4M
+10%
2023
$5.9M
+8%
2024
$6.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 41% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$16.1M

36K claims · 41.5%

Your Cost: $449.45/claim|Median: $467.51
1.0× median
H0010Normal range

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

$5.7M

14K claims · 14.8%

Your Cost: $398.52/claim|Median: $369.55
1.1× median
S9976Normal range

$4.4M

60K claims · 11.4%

Your Cost: $73.60/claim|Median: $64.43
1.1× median
H0020Normal range

Alcohol/drug services; methadone administration

$2.8M

243K claims · 7.3%

Your Cost: $11.59/claim|Median: $18.95
0.6× median
S0280Top 25%

Medical home program, comprehensive care management

$1.4M

7,712 claims · 3.7%

Your Cost: $187.61/claim|Median: $48.38
3.9× median
H0003Normal range

$1.2M

54K claims · 3.2%

Your Cost: $22.99/claim|Median: $13.38
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$1.2M

15K claims · 3.2%

Your Cost: $81.66/claim|Median: $63.65
1.3× median
90853Normal range

Group psychotherapy

$1.2M

30K claims · 3.0%

Your Cost: $39.58/claim|Median: $25.02
1.6× median
H0001Normal range

Alcohol and/or drug assessment

$1.0M

8,870 claims · 2.7%

Your Cost: $118.22/claim|Median: $94.22
1.3× median
H0019Normal range

Behavioral health; residential, per diem

$833K

8,463 claims · 2.1%

Your Cost: $98.37/claim|Median: $357.16
0.3× median
H2034Top 25%

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

$654K

1,183 claims · 1.7%

Your Cost: $552.82/claim|Median: $164.03
3.4× median
90837Normal range

Psychotherapy, 60 minutes

$583K

6,031 claims · 1.5%

Your Cost: $96.61/claim|Median: $85.66
1.1× median
99213Top 10%

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

$470K

5,669 claims · 1.2%

Your Cost: $82.82/claim|Median: $37.81
2.2× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$223K

1,038 claims · 0.6%

Your Cost: $215.30/claim|Median: $9.56
22.5× median
99212Top 25%

Office/outpatient visit, low complexity

$179K

3,237 claims · 0.5%

Your Cost: $55.24/claim|Median: $25.06
2.2× median
90791Top 25%

Psychiatric diagnostic evaluation

$118K

860 claims · 0.3%

Your Cost: $137.77/claim|Median: $99.21
1.4× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$102K

1,039 claims · 0.3%

Your Cost: $98.16/claim|Median: $53.97
1.8× median
90832Top 25%

Psychotherapy, 30 minutes

$90K

1,449 claims · 0.2%

Your Cost: $62.13/claim|Median: $41.28
1.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$80K

2,212 claims · 0.2%

Your Cost: $36.14/claim|Median: $55.04
0.7× median
H0006Top 25%

Alcohol and/or drug services, case management

$57K

725 claims · 0.1%

Your Cost: $79.00/claim|Median: $43.10
1.8× median
99204Top 10%

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

$49K

333 claims · 0.1%

Your Cost: $147.02/claim|Median: $84.03
1.7× median
T1012Normal range

Alcohol/drug services, skills development

$45K

767 claims · 0.1%

Your Cost: $58.33/claim|Median: $40.78
1.4× median
H0033Normal range

Oral medication administration, direct observation

$32K

356 claims · 0.1%

Your Cost: $91.01/claim|Median: $31.37
2.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$17K

127 claims · 0.0%

Your Cost: $130.33/claim|Median: $111.09
1.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$14K

213 claims · 0.0%

Your Cost: $66.77/claim|Median: $74.63
0.9× median
97810Top 5%

$4K

49 claims · 0.0%

Your Cost: $74.86/claim|Median: $23.92
3.1× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$949

13 claims · 0.0%

Your Cost: $73.00/claim|Median: $81.37
0.9× median
H2027Normal range

Psychoeducational service, per 15 minutes

$116

21 claims · 0.0%

Your Cost: $5.51/claim|Median: $82.72
0.1× median