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NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD

Clinic/Center, Mental Health (Including Community Mental Health Center)·COVINGTON, KY·NPI: 1578527610Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.3M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$53.3M

$53,331,892

Total Claims

787K

Beneficiaries

476K

1.7 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$10.2M
-7%
2019
$9.5M
-1%
2020
$9.4M
-5%
2021
$8.9M
-39%
2022
$5.4M
+2%
2023
$5.6M
-23%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 38 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 33% of total spending.

90837Top 25%

Psychotherapy, 60 minutes

$17.8M

172K claims · 33.4%

Your Cost: $103.33/claim|Median: $85.66
1.2× median
T2023Normal range

Community transition, waiver; per service

$10.5M

37K claims · 19.8%

Your Cost: $286.69/claim|Median: $300.13
1.0× median
H0002Top 25%

Behavioral health screening

$3.6M

41K claims · 6.7%

Your Cost: $88.23/claim|Median: $38.77
2.3× median
90887Top 10%

Interpretation/explanation of results

$2.5M

22K claims · 4.7%

Your Cost: $111.22/claim|Median: $47.55
2.3× median
90832Normal range

Psychotherapy, 30 minutes

$2.4M

46K claims · 4.5%

Your Cost: $52.03/claim|Median: $41.28
1.3× median
99213Normal range

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

$2.4M

72K claims · 4.5%

Your Cost: $33.00/claim|Median: $37.81
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$2.3M

29K claims · 4.3%

Your Cost: $79.58/claim|Median: $63.65
1.3× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$2.1M

3,414 claims · 4.0%

Your Cost: $621.57/claim|Median: $266.41
2.3× median
H0031Normal range

Mental health assessment by non-physician

$1.9M

19K claims · 3.6%

Your Cost: $99.58/claim|Median: $96.18
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$1.5M

51K claims · 2.9%

Your Cost: $30.61/claim|Median: $55.04
0.6× median
H0032Normal range

Mental health service plan development

$1.5M

14K claims · 2.7%

Your Cost: $101.15/claim|Median: $80.64
1.3× median
T1040Normal range

Medicaid certified CCBHC services

$1.4M

219K claims · 2.7%

Your Cost: $6.50/claim|Median: $130.29
0.0× median
90853Normal range

Group psychotherapy

$571K

34K claims · 1.1%

Your Cost: $17.02/claim|Median: $25.02
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$542K

3,842 claims · 1.0%

Your Cost: $140.98/claim|Median: $108.91
1.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$540K

6,401 claims · 1.0%

Your Cost: $84.41/claim|Median: $215.80
0.4× median
H0001Normal range

Alcohol and/or drug assessment

$406K

4,212 claims · 0.8%

Your Cost: $96.28/claim|Median: $94.22
1.0× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$357K

1,479 claims · 0.7%

Your Cost: $241.71/claim|Median: $84.12
2.9× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$349K

3,805 claims · 0.7%

Your Cost: $91.73/claim|Median: $129.75
0.7× median
90847Top 25%

Family psychotherapy with patient, 50 min

$322K

2,820 claims · 0.6%

Your Cost: $114.09/claim|Median: $77.33
1.5× median
H2021Normal range

Community-based wrap-around services, per 15 min

$124K

554 claims · 0.2%

Your Cost: $224.33/claim|Median: $169.11
1.3× median
T1007Normal range

Alcohol/drug services, treatment plan review

$65K

642 claims · 0.1%

Your Cost: $101.35/claim|Median: $64.10
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$29K

460 claims · 0.1%

Your Cost: $63.45/claim|Median: $74.09
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$24K

342 claims · 0.0%

Your Cost: $70.29/claim|Median: $99.21
0.7× median
90846Top 25%

Family psychotherapy without patient, 50 min

$19K

159 claims · 0.0%

Your Cost: $118.60/claim|Median: $76.61
1.5× median
99214Normal range

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

$11K

517 claims · 0.0%

Your Cost: $22.19/claim|Median: $53.41
0.4× median
99408Normal range

$5K

324 claims · 0.0%

Your Cost: $15.65/claim|Median: $9.32
1.7× median
90785Normal range

$4K

468 claims · 0.0%

Your Cost: $8.20/claim|Median: $6.43
1.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$2K

25 claims · 0.0%

Your Cost: $99.16/claim|Median: $96.24
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$1K

474 claims · 0.0%

Your Cost: $2.94/claim|Median: $10.88
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$1K

134 claims · 0.0%

Your Cost: $9.51/claim|Median: $25.06
0.4× median
H0024Normal range

$678

20 claims · 0.0%

Your Cost: $33.89/claim|Median: $27.14
1.2× median
82948Normal range

$302

125 claims · 0.0%

Your Cost: $2.42/claim|Median: $1.78
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$170

20 claims · 0.0%

Your Cost: $8.49/claim|Median: $7.18
1.2× median
99406Normal range

$168

32 claims · 0.0%

Your Cost: $5.25/claim|Median: $6.53
0.8× median
90472Normal range

Immunization administration, each additional vaccine

$80

46 claims · 0.0%

Your Cost: $1.75/claim|Median: $11.79
0.1× median
82962Normal range

Blood glucose test by monitoring device

$76

116 claims · 0.0%

Your Cost: $0.66/claim|Median: $1.40
0.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $91.63
T2016Normal range

Habilitation, residential, waiver; per diem

$0

529 claims · 0.0%

Your Cost: $0.00/claim|Median: $331.94