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PYRAMID HEALTHCARE, INC.

Community/Behavioral Health·NEWPORT NEWS, VA·NPI: 1659988525Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.7M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2021-072024-12(42 months)

Total Paid

$40.7M

$40,654,812

Total Claims

131K

Beneficiaries

9,561

13.7 claims/patient

Avg Cost/Claim

$309

Monthly Spending Trend

Yearly Spending

2021
$1.7M
+384%
2022
$8.2M
+93%
2023
$15.8M
-5%
2024
$15.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H0010 (Alcohol and/or drug services, sub-acute detoxification, per diem)) accounts for 81% of total spending.

H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$33.0M

75K claims · 81.1%

Your Cost: $440.48/claim|Median: $369.55
1.2× median
H2036Normal range

Alcohol/drug treatment, per hour

$2.9M

7,235 claims · 7.2%

Your Cost: $403.51/claim|Median: $253.79
1.6× median
H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$2.4M

42K claims · 6.0%

Your Cost: $57.91/claim|Median: $164.03
0.4× median
S0201Normal range

Partial hospitalization services, per diem

$2.0M

4,792 claims · 4.8%

Your Cost: $410.16/claim|Median: $445.16
0.9× median
H0015Normal range

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

$306K

1,861 claims · 0.8%

Your Cost: $164.63/claim|Median: $129.75
1.3× median
90837Top 25%

Psychotherapy, 60 minutes

$21K

188 claims · 0.1%

Your Cost: $112.83/claim|Median: $85.66
1.3× median
90832Top 25%

Psychotherapy, 30 minutes

$18K

262 claims · 0.0%

Your Cost: $68.47/claim|Median: $41.28
1.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$4K

27 claims · 0.0%

Your Cost: $136.48/claim|Median: $99.21
1.4× median