Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

NORTHWOOD HEALTH SYSTEMS INC

Community/Behavioral Health·WHEELING, WV·NPI: 1649277559Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $52.5M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$52.5M

$52,463,060

Total Claims

308K

Beneficiaries

87K

3.6 claims/patient

Avg Cost/Claim

$170

Monthly Spending Trend

Yearly Spending

2018
$4.7M
-24%
2019
$3.6M
+121%
2020
$8.0M
+5%
2021
$8.3M
+41%
2022
$11.8M
-26%
2023
$8.7M
-16%
2024
$7.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0036 (Community psychiatric supportive treatment, per 15 min)) accounts for 57% of total spending.

H0036Top 1%

Community psychiatric supportive treatment, per 15 min

$30.0M

49K claims · 57.2%

Your Cost: $608.65/claim|Median: $76.05
8.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$8.2M

87K claims · 15.6%

Your Cost: $93.88/claim|Median: $74.63
1.3× median
H0040Normal range

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

$5.9M

58K claims · 11.3%

Your Cost: $102.10/claim|Median: $266.41
0.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.3M

36K claims · 4.4%

Your Cost: $63.12/claim|Median: $96.24
0.7× median
99214Top 25%

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

$1.9M

21K claims · 3.6%

Your Cost: $92.59/claim|Median: $53.41
1.7× median
99213Top 25%

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

$1.6M

24K claims · 3.1%

Your Cost: $66.07/claim|Median: $37.81
1.7× median
H0032Top 25%

Mental health service plan development

$1.0M

7,342 claims · 2.0%

Your Cost: $141.13/claim|Median: $80.64
1.8× median
H0031Top 25%

Mental health assessment by non-physician

$683K

4,069 claims · 1.3%

Your Cost: $167.78/claim|Median: $96.18
1.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$274K

2,073 claims · 0.5%

Your Cost: $131.99/claim|Median: $108.91
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$237K

4,652 claims · 0.5%

Your Cost: $50.89/claim|Median: $55.04
0.9× median
Q3014Top 10%

Telehealth originating site facility fee

$97K

3,410 claims · 0.2%

Your Cost: $28.39/claim|Median: $15.37
1.8× median
A0120Normal range

Non-emergency mini-bus transport

$71K

5,475 claims · 0.1%

Your Cost: $12.94/claim|Median: $16.09
0.8× median
T1017Normal range

Targeted case management, per 15 min

$43K

1,805 claims · 0.1%

Your Cost: $23.98/claim|Median: $69.56
0.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$33K

2,310 claims · 0.1%

Your Cost: $14.09/claim|Median: $9.56
1.5× median
99215Top 10%

Office/outpatient visit, high complexity

$7K

46 claims · 0.0%

Your Cost: $159.09/claim|Median: $74.09
2.1× median
90837Normal range

Psychotherapy, 60 minutes

$5K

145 claims · 0.0%

Your Cost: $36.08/claim|Median: $85.66
0.4× median
99212Top 25%

Office/outpatient visit, low complexity

$2K

40 claims · 0.0%

Your Cost: $43.86/claim|Median: $25.06
1.8× median
H2010Normal range

Comprehensive medication services, per 15 min

$2K

39 claims · 0.0%

Your Cost: $39.82/claim|Median: $62.69
0.6× median
99401Top 5%

$504

13 claims · 0.0%

Your Cost: $38.77/claim|Median: $16.53
2.3× median