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RAPPAHANNOCK-RAPIDAN COMMUNITY SERVICES BOARD

Community/Behavioral Health·WARRENTON, VA·NPI: 1568424364Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$53.4M

$53,355,070

Total Claims

202K

Beneficiaries

84K

2.4 claims/patient

Avg Cost/Claim

$264

Monthly Spending Trend

Yearly Spending

2018
$6.4M
+20%
2019
$7.6M
-6%
2020
$7.1M
-7%
2021
$6.6M
+19%
2022
$7.9M
+13%
2023
$9.0M
-3%
2024
$8.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 42% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$22.5M

69K claims · 42.2%

Your Cost: $326.48/claim|Median: $336.31
1.0× median
97150Top 1%

Therapeutic procedure, group (2+ patients)

$7.8M

6,435 claims · 14.6%

Your Cost: $1,206.86/claim|Median: $12.12
99.6× median
T1017Top 5%

Targeted case management, per 15 min

$7.6M

22K claims · 14.2%

Your Cost: $344.52/claim|Median: $69.56
5.0× median
H0023Top 25%

Behavioral health outreach service, per 15 minutes

$5.2M

17K claims · 9.8%

Your Cost: $303.69/claim|Median: $53.97
5.6× median
H0010Normal range

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

$3.8M

7,065 claims · 7.1%

Your Cost: $538.57/claim|Median: $369.55
1.5× median
T2023Normal range

Community transition, waiver; per service

$1.6M

5,284 claims · 3.0%

Your Cost: $304.64/claim|Median: $300.13
1.0× median
H0046Normal range

Mental health services, not otherwise specified

$1.1M

14K claims · 2.1%

Your Cost: $83.89/claim|Median: $85.02
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$926K

16K claims · 1.7%

Your Cost: $59.52/claim|Median: $63.65
0.9× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$619K

1,499 claims · 1.2%

Your Cost: $412.76/claim|Median: $150.51
2.7× median
T2022Normal range

Case management, per month

$611K

4,909 claims · 1.1%

Your Cost: $124.51/claim|Median: $202.77
0.6× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$432K

10K claims · 0.8%

Your Cost: $41.71/claim|Median: $91.63
0.5× median
90837Top 25%

Psychotherapy, 60 minutes

$253K

2,405 claims · 0.5%

Your Cost: $105.07/claim|Median: $85.66
1.2× median
99213Normal range

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

$249K

8,420 claims · 0.5%

Your Cost: $29.60/claim|Median: $37.81
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$160K

1,264 claims · 0.3%

Your Cost: $126.27/claim|Median: $99.21
1.3× median
90853Normal range

Group psychotherapy

$130K

8,120 claims · 0.2%

Your Cost: $15.99/claim|Median: $25.02
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$90K

1,863 claims · 0.2%

Your Cost: $48.13/claim|Median: $41.28
1.2× median
G0153Top 25%

Services of SLP in home health, per 15 min

$57K

402 claims · 0.1%

Your Cost: $141.40/claim|Median: $101.43
1.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$47K

163 claims · 0.1%

Your Cost: $289.85/claim|Median: $215.80
1.3× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$35K

394 claims · 0.1%

Your Cost: $88.23/claim|Median: $76.05
1.2× median
99214Normal range

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

$34K

619 claims · 0.1%

Your Cost: $54.82/claim|Median: $53.41
1.0× median
H2036Top 25%

Alcohol/drug treatment, per hour

$19K

29 claims · 0.0%

Your Cost: $651.31/claim|Median: $253.79
2.6× median
80305Normal range

$13K

2,961 claims · 0.0%

Your Cost: $4.43/claim|Median: $7.44
0.6× median
H0005Normal range

Alcohol and/or drug services, group counseling

$9K

747 claims · 0.0%

Your Cost: $11.92/claim|Median: $47.35
0.3× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$7K

220 claims · 0.0%

Your Cost: $33.50/claim|Median: $124.86
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$6K

619 claims · 0.0%

Your Cost: $9.30/claim|Median: $25.06
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$4K

371 claims · 0.0%

Your Cost: $10.90/claim|Median: $12.93
0.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

345 claims · 0.0%

Your Cost: $8.46/claim|Median: $22.44
0.4× median
H0032Normal range

Mental health service plan development

$1K

25 claims · 0.0%

Your Cost: $40.27/claim|Median: $80.64
0.5× median
92507Normal range

Speech/hearing/language treatment

$377

27 claims · 0.0%

Your Cost: $13.97/claim|Median: $49.45
0.3× median

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$481.6M

Home Care Delivered, Inc.

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$309.5M

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$288.2M

Similar Providers

Other top providers in Community/Behavioral Health

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Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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