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WESTERN KY REGIONAL MHMR BOARD INC

Clinic/Center, Mental Health (Including Community Mental Health Center)·PADUCAH, KY·NPI: 1649396078Share

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 $39.2M 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

$39.2M

$39,211,905

Total Claims

340K

Beneficiaries

45K

7.5 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2018
$5.6M
+11%
2019
$6.3M
-1%
2020
$6.2M
+0%
2021
$6.2M
+3%
2022
$6.4M
-19%
2023
$5.2M
-37%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (97535 (Self-care/home management training, per 15 minutes)) accounts for 44% of total spending.

97535Top 5%

Self-care/home management training, per 15 minutes

$17.4M

151K claims · 44.4%

Your Cost: $115.64/claim|Median: $18.18
6.4× median
T2016Normal range

Habilitation, residential, waiver; per diem

$6.7M

41K claims · 17.1%

Your Cost: $165.56/claim|Median: $331.94
0.5× median
T1019Normal range

Personal care services, per 15 min

$4.2M

45K claims · 10.6%

Your Cost: $92.43/claim|Median: $82.47
1.1× median
T2022Normal range

Case management, per month

$4.0M

15K claims · 10.2%

Your Cost: $261.09/claim|Median: $202.77
1.3× median
T2021Normal range

Day habilitation, waiver; per 15 min

$2.5M

36K claims · 6.3%

Your Cost: $69.02/claim|Median: $150.51
0.5× median
S5108Normal range

Home care training to home care client, per 15 minutes

$2.3M

22K claims · 5.9%

Your Cost: $103.00/claim|Median: $107.36
1.0× median
T2040Normal range

Financial management, self-directed; per month

$1.1M

11K claims · 2.8%

Your Cost: $103.80/claim|Median: $108.97
1.0× median
T1005Normal range

Respite care services, per 15 minutes

$1.0M

19K claims · 2.7%

Your Cost: $53.94/claim|Median: $71.40
0.8× median