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PYRAMID HEALTH CARE INC.

Substance Abuse Rehabilitation Facility·DUNCANSVILLE, PA·NPI: 1609997154Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.9M is at the 25th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2020-072024-12(54 months)

Total Paid

$23.9M

$23,923,084

Total Claims

81K

Beneficiaries

8,545

9.5 claims/patient

Avg Cost/Claim

$294

Monthly Spending Trend

Yearly Spending

2020
$1.4M
+357%
2021
$6.5M
-13%
2022
$5.6M
-9%
2023
$5.1M
+2%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 39% of total spending.

H2036Normal range

Alcohol/drug treatment, per hour

$9.3M

31K claims · 38.7%

Your Cost: $301.60/claim|Median: $253.79
1.2× median
H0018Normal range

Behavioral health; short-term residential, per diem

$6.7M

26K claims · 28.0%

Your Cost: $253.40/claim|Median: $467.51
0.5× median
H0013Normal range

$6.0M

17K claims · 25.0%

Your Cost: $359.67/claim|Median: $397.82
0.9× median
T2048Normal range

Behavioral health; long-term residential, per diem

$2.0M

7,605 claims · 8.3%

Your Cost: $261.01/claim|Median: $1,437.23
0.2× median