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PSJ ACQUISITION LLC

Psychiatric Hospital·FARGO, ND·NPI: 1679709802Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$32.3M

$32,262,351

Total Claims

153K

Beneficiaries

60K

2.5 claims/patient

Avg Cost/Claim

$211

Monthly Spending Trend

Yearly Spending

2018
$4.8M
+20%
2019
$5.8M
-9%
2020
$5.2M
+43%
2021
$7.5M
-57%
2022
$3.2M
-27%
2023
$2.4M
+44%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S0201 (Partial hospitalization services, per diem)) accounts for 24% of total spending.

S0201Top 10%

Partial hospitalization services, per diem

$7.8M

11K claims · 24.2%

Your Cost: $728.69/claim|Median: $445.16
1.6× median
H0035Top 10%

Mental health partial hospitalization, treatment, per hour

$7.2M

20K claims · 22.2%

Your Cost: $363.06/claim|Median: $148.53
2.4× median
S9480Top 10%

Intensive outpatient psychiatric services, per diem

$6.1M

11K claims · 18.9%

Your Cost: $561.79/claim|Median: $135.70
4.1× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$3.4M

37K claims · 10.6%

Your Cost: $91.79/claim|Median: $35.30
2.6× median
S9475Normal range

$2.2M

4,761 claims · 6.8%

Your Cost: $459.51/claim|Median: $410.41
1.1× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$2.2M

37K claims · 6.8%

Your Cost: $59.32/claim|Median: $23.99
2.5× median
99223Top 5%

Initial hospital care, per day, high complexity

$1.7M

8,579 claims · 5.2%

Your Cost: $196.12/claim|Median: $67.32
2.9× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$756K

7,582 claims · 2.3%

Your Cost: $99.72/claim|Median: $43.85
2.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$449K

2,954 claims · 1.4%

Your Cost: $152.13/claim|Median: $108.91
1.4× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$216K

3,158 claims · 0.7%

Your Cost: $68.38/claim|Median: $37.22
1.8× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$166K

6,166 claims · 0.5%

Your Cost: $26.93/claim|Median: $16.77
1.6× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$74K

793 claims · 0.2%

Your Cost: $93.72/claim|Median: $94.63
1.0× median
H0015Normal range

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

$21K

148 claims · 0.1%

Your Cost: $143.03/claim|Median: $129.75
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$14K

316 claims · 0.0%

Your Cost: $43.77/claim|Median: $99.21
0.4× median
G0410Normal range

$9K

260 claims · 0.0%

Your Cost: $35.88/claim|Median: $24.14
1.5× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$6K

45 claims · 0.0%

Your Cost: $126.08/claim|Median: $51.25
2.5× median
96101Normal range

$2K

17 claims · 0.0%

Your Cost: $142.81/claim|Median: $196.08
0.7× median
G0177Normal range

Training and educational services, per session

$1K

726 claims · 0.0%

Your Cost: $1.72/claim|Median: $8.90
0.2× median
90833Normal range

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

$640

40 claims · 0.0%

Your Cost: $16.00/claim|Median: $38.83
0.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$200

454 claims · 0.0%

Your Cost: $0.44/claim|Median: $9.87
0.0× median
80053Normal range

Comprehensive metabolic panel

$197

607 claims · 0.0%

Your Cost: $0.32/claim|Median: $7.24
0.0× median
80061Normal range

Lipid panel

$80

34 claims · 0.0%

Your Cost: $2.34/claim|Median: $8.41
0.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$53

518 claims · 0.0%

Your Cost: $0.10/claim|Median: $4.71
0.0× median
82947Normal range

Blood glucose level test

$41

15 claims · 0.0%

Your Cost: $2.72/claim|Median: $2.38
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$36

16 claims · 0.0%

Your Cost: $2.27/claim|Median: $24.95
0.1× median
86803Normal range

Hepatitis C antibody

$15

27 claims · 0.0%

Your Cost: $0.55/claim|Median: $10.17
0.1× median
36415Normal range

Collection of venous blood by venipuncture

$13

54 claims · 0.0%

Your Cost: $0.23/claim|Median: $1.57
0.1× median
86593Normal range

$5

30 claims · 0.0%

Your Cost: $0.15/claim|Median: $2.84
0.1× median
G0176Normal range

Activity therapy (group), per session

$0

245 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.09
86703Normal range

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.37