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PINELAND AREA COMMUNITY SERVICES BOARD

Community/Behavioral Health·STATESBORO, GA·NPI: 1588735252Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$39.0M

$39,010,424

Total Claims

405K

Beneficiaries

80K

5.0 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$6.7M
+3%
2019
$6.9M
-12%
2020
$6.1M
-15%
2021
$5.2M
-15%
2022
$4.4M
+22%
2023
$5.4M
-21%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 33 distinct procedure codes. The top code (T2025 (Waiver services, NOS; per 15 min)) accounts for 47% of total spending.

T2025Normal range

Waiver services, NOS; per 15 min

$18.4M

218K claims · 47.2%

Your Cost: $84.42/claim|Median: $124.39
0.7× median
T2033Normal range

Residential care, NOS; per diem

$13.8M

63K claims · 35.5%

Your Cost: $218.17/claim|Median: $1,051.57
0.2× median
T2015Normal range

Habilitation, prevocational, waiver, per diem

$1.1M

28K claims · 2.8%

Your Cost: $39.85/claim|Median: $88.27
0.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.0M

15K claims · 2.7%

Your Cost: $71.12/claim|Median: $91.63
0.8× median
H0031Normal range

Mental health assessment by non-physician

$666K

11K claims · 1.7%

Your Cost: $63.19/claim|Median: $96.18
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$538K

4,279 claims · 1.4%

Your Cost: $125.72/claim|Median: $108.91
1.2× median
99213Normal range

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

$431K

8,142 claims · 1.1%

Your Cost: $52.94/claim|Median: $37.81
1.4× median
99214Top 25%

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

$431K

5,639 claims · 1.1%

Your Cost: $76.38/claim|Median: $53.41
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$289K

3,230 claims · 0.7%

Your Cost: $89.45/claim|Median: $85.66
1.0× median
T2028Normal range

Specialized supply, NOS; per unit

$267K

1,608 claims · 0.7%

Your Cost: $166.15/claim|Median: $79.30
2.1× median
90791Normal range

Psychiatric diagnostic evaluation

$204K

2,057 claims · 0.5%

Your Cost: $98.97/claim|Median: $99.21
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$203K

3,055 claims · 0.5%

Your Cost: $66.30/claim|Median: $63.65
1.0× median
T1016Normal range

Case management, each 15 min

$189K

3,776 claims · 0.5%

Your Cost: $50.16/claim|Median: $49.62
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$189K

5,130 claims · 0.5%

Your Cost: $36.82/claim|Median: $41.28
0.9× median
H0032Normal range

Mental health service plan development

$181K

6,889 claims · 0.5%

Your Cost: $26.31/claim|Median: $80.64
0.3× median
H0039Normal range

Assertive community treatment, per diem

$141K

2,502 claims · 0.4%

Your Cost: $56.18/claim|Median: $132.62
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$125K

3,525 claims · 0.3%

Your Cost: $35.44/claim|Median: $25.06
1.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$114K

3,172 claims · 0.3%

Your Cost: $36.03/claim|Median: $96.24
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$105K

3,332 claims · 0.3%

Your Cost: $31.60/claim|Median: $74.63
0.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$105K

2,085 claims · 0.3%

Your Cost: $50.17/claim|Median: $55.04
0.9× median
T1001Normal range

Nursing assessment/evaluation, per visit

$101K

2,403 claims · 0.3%

Your Cost: $42.16/claim|Median: $49.05
0.9× median
H2010Normal range

Comprehensive medication services, per 15 min

$85K

3,896 claims · 0.2%

Your Cost: $21.89/claim|Median: $62.69
0.3× median
H2014Normal range

Skills training & development, per 15 min

$74K

3,832 claims · 0.2%

Your Cost: $19.44/claim|Median: $83.88
0.2× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$54K

702 claims · 0.1%

Your Cost: $77.28/claim|Median: $43.85
1.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$54K

770 claims · 0.1%

Your Cost: $69.73/claim|Median: $35.30
2.0× median
99215Top 25%

Office/outpatient visit, high complexity

$36K

311 claims · 0.1%

Your Cost: $115.01/claim|Median: $74.09
1.6× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$17K

308 claims · 0.0%

Your Cost: $54.93/claim|Median: $23.99
2.3× median
H0018Normal range

Behavioral health; short-term residential, per diem

$15K

76 claims · 0.0%

Your Cost: $192.70/claim|Median: $467.51
0.4× median
T1003Normal range

LPN/LVN services, per 15 minutes

$4K

190 claims · 0.0%

Your Cost: $22.22/claim|Median: $24.24
0.9× median
T1002Normal range

RN services, per 15 minutes

$2K

57 claims · 0.0%

Your Cost: $40.54/claim|Median: $37.42
1.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$503

16 claims · 0.0%

Your Cost: $31.43/claim|Median: $38.83
0.8× median
H0025Normal range

Behavioral health prevention education, per session

$320

27 claims · 0.0%

Your Cost: $11.86/claim|Median: $36.25
0.3× median
90785Normal range

$178

49 claims · 0.0%

Your Cost: $3.63/claim|Median: $6.43
0.6× median

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