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BEHAVIORAL HEALTH NETWORK, INC

Clinic/Center, Methadone Clinic·SPRINGFIELD, MA·NPI: 1669017653Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $108.4M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

Active Billing Period:2018-012024-12(67 months)

Total Paid

$108.4M

$108,360,750

Total Claims

1.3M

Beneficiaries

371K

3.6 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$230K
+821%
2019
$2.1M
+490%
2020
$12.5M
+8%
2021
$13.5M
+32%
2022
$17.9M
+72%
2023
$30.8M
+2%
2024
$31.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 37 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 26% of total spending.

T1040Top 25%

Medicaid certified CCBHC services

$28.0M

120K claims · 25.9%

Your Cost: $234.26/claim|Median: $130.29
1.8× median
H0019Normal range

Behavioral health; residential, per diem

$15.1M

82K claims · 13.9%

Your Cost: $185.24/claim|Median: $357.16
0.5× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$8.8M

58K claims · 8.2%

Your Cost: $151.53/claim|Median: $84.12
1.8× median
90834Normal range

Psychotherapy, 45 minutes

$7.9M

142K claims · 7.3%

Your Cost: $55.86/claim|Median: $63.65
0.9× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$7.7M

61K claims · 7.1%

Your Cost: $125.60/claim|Median: $73.29
1.7× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$7.0M

127K claims · 6.5%

Your Cost: $54.90/claim|Median: $53.97
1.0× median
H2014Top 25%

Skills training & development, per 15 min

$5.9M

38K claims · 5.5%

Your Cost: $153.71/claim|Median: $83.88
1.8× median
S9485Normal range

Crisis intervention mental health services, per diem

$5.5M

8,086 claims · 5.1%

Your Cost: $679.40/claim|Median: $501.33
1.4× median
H0020Normal range

Alcohol/drug services; methadone administration

$4.9M

384K claims · 4.6%

Your Cost: $12.88/claim|Median: $18.95
0.7× median
T1027Top 10%

Family training and counseling, per 15 minutes

$4.2M

38K claims · 3.9%

Your Cost: $110.80/claim|Median: $53.00
2.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$2.5M

17K claims · 2.3%

Your Cost: $144.83/claim|Median: $215.80
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$2.3M

40K claims · 2.1%

Your Cost: $56.48/claim|Median: $85.66
0.7× median
99214Normal range

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

$1.9M

31K claims · 1.8%

Your Cost: $61.81/claim|Median: $53.41
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$1.4M

49K claims · 1.3%

Your Cost: $28.13/claim|Median: $41.28
0.7× median
H2036Top 25%

Alcohol/drug treatment, per hour

$1.2M

1,359 claims · 1.2%

Your Cost: $919.21/claim|Median: $253.79
3.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$755K

38K claims · 0.7%

Your Cost: $20.11/claim|Median: $321.53
0.1× median
G2078Normal range

$523K

25K claims · 0.5%

Your Cost: $20.73/claim|Median: $27.04
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$455K

7,379 claims · 0.4%

Your Cost: $61.67/claim|Median: $99.21
0.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$454K

4,989 claims · 0.4%

Your Cost: $91.01/claim|Median: $55.04
1.7× median
99213Top 25%

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

$317K

5,498 claims · 0.3%

Your Cost: $57.70/claim|Median: $37.81
1.5× median
90887Normal range

Interpretation/explanation of results

$302K

8,451 claims · 0.3%

Your Cost: $35.78/claim|Median: $47.55
0.8× median
90882Normal range

Environmental intervention

$229K

10K claims · 0.2%

Your Cost: $22.94/claim|Median: $45.05
0.5× median
90853Normal range

Group psychotherapy

$176K

9,139 claims · 0.2%

Your Cost: $19.22/claim|Median: $25.02
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$160K

1,931 claims · 0.1%

Your Cost: $82.75/claim|Median: $74.09
1.1× median
99404Normal range

$146K

1,394 claims · 0.1%

Your Cost: $104.73/claim|Median: $104.92
1.0× median
H0046Normal range

Mental health services, not otherwise specified

$121K

2,648 claims · 0.1%

Your Cost: $45.53/claim|Median: $85.02
0.5× median
G2076Normal range

$70K

633 claims · 0.1%

Your Cost: $110.29/claim|Median: $275.92
0.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$65K

650 claims · 0.1%

Your Cost: $100.21/claim|Median: $96.24
1.0× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$54K

1,349 claims · 0.1%

Your Cost: $40.22/claim|Median: $38.83
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$36K

552 claims · 0.0%

Your Cost: $65.58/claim|Median: $108.91
0.6× median
T1017Normal range

Targeted case management, per 15 min

$24K

199 claims · 0.0%

Your Cost: $118.85/claim|Median: $69.56
1.7× median
90847Normal range

Family psychotherapy with patient, 50 min

$13K

475 claims · 0.0%

Your Cost: $26.46/claim|Median: $77.33
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$10K

1,144 claims · 0.0%

Your Cost: $8.86/claim|Median: $9.56
0.9× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$5K

78 claims · 0.0%

Your Cost: $64.19/claim|Median: $56.18
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$4K

109 claims · 0.0%

Your Cost: $36.04/claim|Median: $25.06
1.4× median
H0040Normal range

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

$3K

38 claims · 0.0%

Your Cost: $68.48/claim|Median: $266.41
0.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$879

101 claims · 0.0%

Your Cost: $8.70/claim|Median: $74.63
0.1× median

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