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COUNTY OF OUTAGAMIE

Clinic/Center, Mental Health (Including Community Mental Health Center)·APPLETON, WI·NPI: 1629138995Share

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 $45.4M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$45.4M

$45,354,088

Total Claims

708K

Beneficiaries

82K

8.6 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$4.3M
+25%
2019
$5.3M
-4%
2020
$5.2M
+23%
2021
$6.3M
+14%
2022
$7.3M
+22%
2023
$8.9M
-8%
2024
$8.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2017 (Psychosocial rehabilitation services, per 15 min)) accounts for 71% of total spending.

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$32.1M

404K claims · 70.9%

Your Cost: $79.56/claim|Median: $91.63
0.9× median
T1016Normal range

Case management, each 15 min

$6.2M

77K claims · 13.6%

Your Cost: $80.34/claim|Median: $49.62
1.6× median
H0039Normal range

Assertive community treatment, per diem

$2.4M

123K claims · 5.3%

Your Cost: $19.41/claim|Median: $132.62
0.1× median
S9484Normal range

Crisis intervention mental health services, per hour

$2.0M

57K claims · 4.4%

Your Cost: $34.85/claim|Median: $249.51
0.1× median
A9999Top 25%

$601K

3,340 claims · 1.3%

Your Cost: $180.04/claim|Median: $39.73
4.5× median
T1017Normal range

Targeted case management, per 15 min

$475K

8,937 claims · 1.0%

Your Cost: $53.16/claim|Median: $69.56
0.8× median
T2028Top 10%

Specialized supply, NOS; per unit

$441K

1,335 claims · 1.0%

Your Cost: $330.09/claim|Median: $79.30
4.2× median
99214Normal range

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

$236K

11K claims · 0.5%

Your Cost: $22.11/claim|Median: $53.41
0.4× median
S5190Top 10%

Wellness assessment, performed by non-physician

$181K

900 claims · 0.4%

Your Cost: $201.28/claim|Median: $33.67
6.0× median
90834Normal range

Psychotherapy, 45 minutes

$175K

4,978 claims · 0.4%

Your Cost: $35.08/claim|Median: $63.65
0.6× median
S9485Normal range

Crisis intervention mental health services, per diem

$168K

2,640 claims · 0.4%

Your Cost: $63.78/claim|Median: $501.33
0.1× median
T1999Top 25%

Miscellaneous therapeutic items and supplies

$131K

711 claims · 0.3%

Your Cost: $184.05/claim|Median: $28.63
6.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$100K

1,415 claims · 0.2%

Your Cost: $70.98/claim|Median: $215.80
0.3× median
E0700Top 10%

$61K

199 claims · 0.1%

Your Cost: $305.59/claim|Median: $16.00
19.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$47K

3,715 claims · 0.1%

Your Cost: $12.77/claim|Median: $32.55
0.4× median
90837Normal range

Psychotherapy, 60 minutes

$27K

801 claims · 0.1%

Your Cost: $34.12/claim|Median: $85.66
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$6K

755 claims · 0.0%

Your Cost: $7.93/claim|Median: $12.93
0.6× median
83655Normal range

$4K

741 claims · 0.0%

Your Cost: $4.86/claim|Median: $10.49
0.5× median
99213Normal range

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

$2K

69 claims · 0.0%

Your Cost: $24.03/claim|Median: $37.81
0.6× median
36416Normal range

$2K

725 claims · 0.0%

Your Cost: $2.09/claim|Median: $1.31
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$638

5,169 claims · 0.0%

Your Cost: $0.12/claim|Median: $9.56
0.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$192

18 claims · 0.0%

Your Cost: $10.69/claim|Median: $22.44
0.5× median