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VALLEY COMMUNITY SERVICES BOARD

Community/Behavioral Health·STAUNTON, VA·NPI: 1649205212Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.1M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$59.1M

$59,141,361

Total Claims

390K

Beneficiaries

180K

2.2 claims/patient

Avg Cost/Claim

$151

Monthly Spending Trend

Yearly Spending

2018
$8.3M
+7%
2019
$8.9M
-12%
2020
$7.8M
+5%
2021
$8.1M
+5%
2022
$8.5M
+7%
2023
$9.1M
-7%
2024
$8.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 44 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 22% of total spending.

H0023Top 10%

Behavioral health outreach service, per 15 minutes

$12.9M

40K claims · 21.8%

Your Cost: $324.73/claim|Median: $53.97
6.0× median
T2033Normal range

Residential care, NOS; per diem

$12.7M

51K claims · 21.5%

Your Cost: $247.42/claim|Median: $1,051.57
0.2× median
T1017Top 5%

Targeted case management, per 15 min

$8.3M

24K claims · 14.0%

Your Cost: $339.12/claim|Median: $69.56
4.9× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$3.9M

19K claims · 6.6%

Your Cost: $210.29/claim|Median: $266.41
0.8× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$3.8M

39K claims · 6.5%

Your Cost: $99.67/claim|Median: $148.53
0.7× median
H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$1.7M

7,723 claims · 2.9%

Your Cost: $220.57/claim|Median: $129.75
1.7× median
H0039Top 25%

Assertive community treatment, per diem

$1.5M

2,095 claims · 2.6%

Your Cost: $722.42/claim|Median: $132.62
5.4× median
99214Normal range

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

$1.5M

24K claims · 2.6%

Your Cost: $63.57/claim|Median: $53.41
1.2× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$1.4M

1,914 claims · 2.4%

Your Cost: $726.81/claim|Median: $215.80
3.4× median
T2023Normal range

Community transition, waiver; per service

$1.2M

4,136 claims · 2.1%

Your Cost: $300.72/claim|Median: $300.13
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$1.2M

16K claims · 2.0%

Your Cost: $74.70/claim|Median: $63.65
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$1.1M

8,631 claims · 1.8%

Your Cost: $123.28/claim|Median: $99.21
1.2× median
99213Normal range

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

$815K

20K claims · 1.4%

Your Cost: $41.68/claim|Median: $37.81
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$774K

15K claims · 1.3%

Your Cost: $51.38/claim|Median: $91.63
0.6× median
97150Top 10%

Therapeutic procedure, group (2+ patients)

$765K

13K claims · 1.3%

Your Cost: $60.10/claim|Median: $12.12
5.0× median
T2022Normal range

Case management, per month

$738K

5,903 claims · 1.2%

Your Cost: $125.07/claim|Median: $202.77
0.6× median
G9012Normal range

Other specified case management service, per 15 minutes

$726K

3,480 claims · 1.2%

Your Cost: $208.53/claim|Median: $137.85
1.5× median
H0036Top 10%

Community psychiatric supportive treatment, per 15 min

$696K

2,998 claims · 1.2%

Your Cost: $232.29/claim|Median: $76.05
3.1× median
90853Normal range

Group psychotherapy

$490K

23K claims · 0.8%

Your Cost: $21.22/claim|Median: $25.02
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$403K

7,371 claims · 0.7%

Your Cost: $54.68/claim|Median: $41.28
1.3× median
90837Top 10%

Psychotherapy, 60 minutes

$388K

2,963 claims · 0.7%

Your Cost: $131.00/claim|Median: $85.66
1.5× median
H0006Top 5%

Alcohol and/or drug services, case management

$321K

1,485 claims · 0.5%

Your Cost: $216.49/claim|Median: $43.10
5.0× median
H0024Top 10%

$219K

2,900 claims · 0.4%

Your Cost: $75.36/claim|Median: $27.14
2.8× median
H0046Normal range

Mental health services, not otherwise specified

$207K

2,002 claims · 0.4%

Your Cost: $103.44/claim|Median: $85.02
1.2× median
T2021Normal range

Day habilitation, waiver; per 15 min

$202K

4,587 claims · 0.3%

Your Cost: $43.94/claim|Median: $150.51
0.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$190K

2,320 claims · 0.3%

Your Cost: $82.01/claim|Median: $77.33
1.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$153K

6,424 claims · 0.3%

Your Cost: $23.80/claim|Median: $22.44
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$128K

1,299 claims · 0.2%

Your Cost: $98.78/claim|Median: $74.09
1.3× median
80305Top 25%

$123K

11K claims · 0.2%

Your Cost: $10.74/claim|Median: $7.44
1.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$120K

3,544 claims · 0.2%

Your Cost: $33.77/claim|Median: $32.55
1.0× median
T2003Normal range

Non-emergency transport; encounter/trip

$74K

12K claims · 0.1%

Your Cost: $6.27/claim|Median: $21.70
0.3× median
G0495Top 25%

Skilled services of LPN in home health

$65K

718 claims · 0.1%

Your Cost: $91.09/claim|Median: $42.60
2.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$54K

734 claims · 0.1%

Your Cost: $73.77/claim|Median: $108.91
0.7× median
H2014Normal range

Skills training & development, per 15 min

$50K

619 claims · 0.1%

Your Cost: $81.23/claim|Median: $83.88
1.0× median
G0153Normal range

Services of SLP in home health, per 15 min

$49K

459 claims · 0.1%

Your Cost: $105.90/claim|Median: $101.43
1.0× median
H0032Normal range

Mental health service plan development

$33K

709 claims · 0.1%

Your Cost: $47.22/claim|Median: $80.64
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$31K

4,730 claims · 0.1%

Your Cost: $6.58/claim|Median: $9.56
0.7× median
T1027Normal range

Family training and counseling, per 15 minutes

$30K

414 claims · 0.0%

Your Cost: $71.26/claim|Median: $53.00
1.3× median
90846Normal range

Family psychotherapy without patient, 50 min

$13K

159 claims · 0.0%

Your Cost: $84.03/claim|Median: $76.61
1.1× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$11K

75 claims · 0.0%

Your Cost: $150.87/claim|Median: $106.70
1.4× median
36415Normal range

Collection of venous blood by venipuncture

$4K

3,166 claims · 0.0%

Your Cost: $1.34/claim|Median: $1.57
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$4K

245 claims · 0.0%

Your Cost: $17.25/claim|Median: $25.06
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

263 claims · 0.0%

Your Cost: $6.19/claim|Median: $12.93
0.5× median
Q3014Normal range

Telehealth originating site facility fee

$932

95 claims · 0.0%

Your Cost: $9.81/claim|Median: $15.37
0.6× median

Other Top Providers in Virginia

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Virginia Commonwealth University Health System Authority

General Acute Care Hospital

$658.5M

Rector & Visitors of the University of Virginia

General Acute Care Hospital

$500.5M

Wall Residences LLC

Community Based Residential Treatment Facility In

$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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