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HERITAGE BEHAVIORAL HEALTH CENTER INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·DECATUR, IL·NPI: 1639231731Share

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 $28.8M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-09(81 months)

Total Paid

$28.8M

$28,765,970

Total Claims

378K

Beneficiaries

142K

2.7 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$3.4M
+45%
2019
$4.9M
-19%
2020
$4.0M
+2%
2021
$4.0M
+0%
2022
$4.1M
+15%
2023
$4.7M
-19%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H0039 (Assertive community treatment, per diem)) accounts for 26% of total spending.

H0039Normal range

Assertive community treatment, per diem

$7.6M

77K claims · 26.4%

Your Cost: $98.69/claim|Median: $132.62
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$5.7M

74K claims · 19.7%

Your Cost: $76.00/claim|Median: $96.24
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$4.4M

53K claims · 15.3%

Your Cost: $82.56/claim|Median: $74.63
1.1× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$3.7M

44K claims · 12.8%

Your Cost: $83.09/claim|Median: $114.71
0.7× median
T1016Normal range

Case management, each 15 min

$2.2M

38K claims · 7.7%

Your Cost: $58.60/claim|Median: $49.62
1.2× median
H2011Normal range

Crisis intervention service, per 15 minutes

$2.2M

17K claims · 7.6%

Your Cost: $127.64/claim|Median: $215.80
0.6× median
S9484Normal range

Crisis intervention mental health services, per hour

$1.2M

6,928 claims · 4.2%

Your Cost: $174.02/claim|Median: $249.51
0.7× median
H2010Normal range

Comprehensive medication services, per 15 min

$917K

35K claims · 3.2%

Your Cost: $25.84/claim|Median: $62.69
0.4× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$264K

17K claims · 0.9%

Your Cost: $15.45/claim|Median: $7.86
2.0× median
H0034Normal range

Medication training and management, per 15 min

$228K

9,747 claims · 0.8%

Your Cost: $23.36/claim|Median: $56.90
0.4× median
H0031Normal range

Mental health assessment by non-physician

$149K

1,741 claims · 0.5%

Your Cost: $85.65/claim|Median: $96.18
0.9× median
T1023Top 10%

Screening to determine appropriateness of consideration for program

$130K

372 claims · 0.5%

Your Cost: $349.86/claim|Median: $106.70
3.3× median
H0032Normal range

Mental health service plan development

$73K

1,412 claims · 0.3%

Your Cost: $51.81/claim|Median: $80.64
0.6× median
H0002Normal range

Behavioral health screening

$34K

805 claims · 0.1%

Your Cost: $42.59/claim|Median: $38.77
1.1× median
H0005Normal range

Alcohol and/or drug services, group counseling

$21K

439 claims · 0.1%

Your Cost: $46.80/claim|Median: $47.35
1.0× median
H0020Top 25%

Alcohol/drug services; methadone administration

$4K

50 claims · 0.0%

Your Cost: $70.00/claim|Median: $18.95
3.7× median
99213Normal range

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

$877

46 claims · 0.0%

Your Cost: $19.07/claim|Median: $37.81
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$630

149 claims · 0.0%

Your Cost: $4.23/claim|Median: $25.06
0.2× median