Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

TROPICAL TEXAS BEHAVIORAL HEALTH

Clinic/Center, Multi-Specialty·EDINBURG, TX·NPI: 1588643787Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.4M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

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

Total Paid

$61.4M

$61,448,419

Total Claims

605K

Beneficiaries

387K

1.6 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+11%
2019
$1.4M
+121%
2020
$3.2M
+282%
2021
$12.2M
+40%
2022
$17.0M
-6%
2023
$15.9M
-35%
2024
$10.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 31 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 32% of total spending.

T1017Normal range

Targeted case management, per 15 min

$19.6M

181K claims · 31.9%

Your Cost: $108.38/claim|Median: $69.56
1.6× median
H2014Normal range

Skills training & development, per 15 min

$16.4M

129K claims · 26.7%

Your Cost: $127.57/claim|Median: $83.88
1.5× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$9.7M

67K claims · 15.7%

Your Cost: $144.60/claim|Median: $91.63
1.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$3.8M

13K claims · 6.2%

Your Cost: $304.11/claim|Median: $215.80
1.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$3.2M

25K claims · 5.1%

Your Cost: $124.24/claim|Median: $96.24
1.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$1.7M

12K claims · 2.7%

Your Cost: $142.07/claim|Median: $99.21
1.4× median
T2027Normal range

Specialized transportation, waiver, per trip, extra

$1.2M

21K claims · 2.0%

Your Cost: $58.92/claim|Median: $88.93
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$1.0M

41K claims · 1.7%

Your Cost: $25.52/claim|Median: $25.06
1.0× median
H2032Normal range

Activity therapy, per 15 minutes

$963K

20K claims · 1.6%

Your Cost: $48.70/claim|Median: $108.23
0.4× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$857K

5,285 claims · 1.4%

Your Cost: $162.20/claim|Median: $108.91
1.5× median
99213Normal range

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

$723K

16K claims · 1.2%

Your Cost: $44.51/claim|Median: $37.81
1.2× median
90837Top 10%

Psychotherapy, 60 minutes

$619K

4,496 claims · 1.0%

Your Cost: $137.62/claim|Median: $85.66
1.6× median
H0034Normal range

Medication training and management, per 15 min

$562K

26K claims · 0.9%

Your Cost: $21.57/claim|Median: $56.90
0.4× median
99214Normal range

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

$423K

10K claims · 0.7%

Your Cost: $40.96/claim|Median: $53.41
0.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$229K

6,765 claims · 0.4%

Your Cost: $33.89/claim|Median: $55.04
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$148K

11K claims · 0.2%

Your Cost: $13.97/claim|Median: $9.56
1.5× median
T2003Normal range

Non-emergency transport; encounter/trip

$105K

9,662 claims · 0.2%

Your Cost: $10.89/claim|Median: $21.70
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$81K

1,215 claims · 0.1%

Your Cost: $66.60/claim|Median: $74.09
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$44K

535 claims · 0.1%

Your Cost: $81.57/claim|Median: $63.65
1.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$37K

1,367 claims · 0.1%

Your Cost: $26.79/claim|Median: $22.44
1.2× median
H0049Normal range

$15K

1,342 claims · 0.0%

Your Cost: $11.27/claim|Median: $9.27
1.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$11K

247 claims · 0.0%

Your Cost: $42.97/claim|Median: $32.55
1.3× median
99408Normal range

$9K

981 claims · 0.0%

Your Cost: $8.88/claim|Median: $9.32
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$9K

175 claims · 0.0%

Your Cost: $48.84/claim|Median: $41.28
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$4K

1,204 claims · 0.0%

Your Cost: $3.24/claim|Median: $5.50
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$2K

30 claims · 0.0%

Your Cost: $60.21/claim|Median: $76.06
0.8× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$2K

163 claims · 0.0%

Your Cost: $9.77/claim|Median: $9.80
1.0× median
99441Normal range

Telephone E/M by physician, 5-10 min

$2K

134 claims · 0.0%

Your Cost: $11.65/claim|Median: $13.30
0.9× median
90756Normal range

Influenza virus vaccine, quadrivalent

$1K

112 claims · 0.0%

Your Cost: $13.04/claim|Median: $14.34
0.9× median
90656Normal range

$645

79 claims · 0.0%

Your Cost: $8.16/claim|Median: $8.67
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$0

275 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57

Other Top Providers in Texas

View all →

Girling Health Care Inc.

Home Health

$858.2M

Aoc TX LLC

Home Health

$708.5M

Consumer Directed Services in Texas Inc.

Supports Brokerage

$624.8M

Caregivers Home Health TX INC

Nursing Care

$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

Similar Providers

Other top providers in Clinic/Center, Multi-Specialty

Group Health Plan, Inc.

Minneapolis, MN

$204.3M

Banner - University Medical Center Tucson Campus LLC

Tucson, AZ

$194.4M

Wake Forest University Health Sciences

Winston Salem, NC

$188.0M

Barrio Comprehensive Family Health Care Center, Inc.

San Antonio, TX

$148.0M

← All providersAll providers in Texas →How we detect fraud →