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SOUTH COMMUNITY INC

Clinic/Center, Mental Health (Including Community Mental Health Center)·MORAINE, OH·NPI: 1639128176Share

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 $54.5M 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

$54.5M

$54,527,266

Total Claims

848K

Beneficiaries

456K

1.9 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$9.3M
-8%
2019
$8.5M
-7%
2020
$7.9M
-6%
2021
$7.4M
-5%
2022
$7.1M
+2%
2023
$7.2M
-3%
2024
$7.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 35% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$19.1M

293K claims · 35.1%

Your Cost: $65.26/claim|Median: $84.12
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$8.2M

87K claims · 15.0%

Your Cost: $94.06/claim|Median: $85.66
1.1× median
99214Top 25%

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

$7.3M

76K claims · 13.5%

Your Cost: $96.82/claim|Median: $53.41
1.8× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$5.4M

150K claims · 10.0%

Your Cost: $36.31/claim|Median: $76.05
0.5× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$4.8M

28K claims · 8.8%

Your Cost: $169.39/claim|Median: $144.05
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$3.4M

67K claims · 6.1%

Your Cost: $50.30/claim|Median: $41.28
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$2.3M

35K claims · 4.2%

Your Cost: $64.87/claim|Median: $63.65
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.0M

29K claims · 1.9%

Your Cost: $35.22/claim|Median: $91.63
0.4× median
99215Top 25%

Office/outpatient visit, high complexity

$1.0M

8,082 claims · 1.9%

Your Cost: $125.60/claim|Median: $74.09
1.7× median
99213Top 25%

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

$591K

9,155 claims · 1.1%

Your Cost: $64.51/claim|Median: $37.81
1.7× median
90791Normal range

Psychiatric diagnostic evaluation

$521K

8,111 claims · 1.0%

Your Cost: $64.19/claim|Median: $99.21
0.6× median
90785Top 25%

$467K

43K claims · 0.9%

Your Cost: $10.92/claim|Median: $6.43
1.7× median
90853Normal range

Group psychotherapy

$335K

15K claims · 0.6%

Your Cost: $22.93/claim|Median: $25.02
0.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$30K

149 claims · 0.1%

Your Cost: $198.12/claim|Median: $111.09
1.8× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$25K

153 claims · 0.0%

Your Cost: $162.11/claim|Median: $84.03
1.9× median
99354Normal range

$10K

162 claims · 0.0%

Your Cost: $59.53/claim|Median: $54.96
1.1× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$7K

59 claims · 0.0%

Your Cost: $113.15/claim|Median: $57.85
2.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$1K

174 claims · 0.0%

Your Cost: $7.01/claim|Median: $12.93
0.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$271

14 claims · 0.0%

Your Cost: $19.38/claim|Median: $9.56
2.0× median