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WESTERN TIDEWATER COMMUNITY MENTAL

Clinic/Center, Mental Health (Including Community Mental Health Center)·SUFFOLK, VA·NPI: 1689615296Share

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 $84.4M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$84.4M

$84,351,954

Total Claims

485K

Beneficiaries

222K

2.2 claims/patient

Avg Cost/Claim

$174

Monthly Spending Trend

Yearly Spending

2018
$8.8M
+16%
2019
$10.2M
+11%
2020
$11.3M
+7%
2021
$12.1M
+10%
2022
$13.3M
+7%
2023
$14.3M
+0%
2024
$14.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 40 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 35% of total spending.

H0023Top 10%

Behavioral health outreach service, per 15 minutes

$29.4M

87K claims · 34.8%

Your Cost: $337.18/claim|Median: $53.97
6.2× median
T1017Top 5%

Targeted case management, per 15 min

$11.8M

34K claims · 14.0%

Your Cost: $343.47/claim|Median: $69.56
4.9× median
H2022Normal range

Community-based wrap-around services, per diem

$9.5M

12K claims · 11.3%

Your Cost: $777.87/claim|Median: $336.31
2.3× median
H0040Normal range

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

$6.1M

31K claims · 7.2%

Your Cost: $195.54/claim|Median: $266.41
0.7× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$4.3M

9,532 claims · 5.1%

Your Cost: $452.77/claim|Median: $84.12
5.4× median
97150Top 5%

Therapeutic procedure, group (2+ patients)

$4.3M

46K claims · 5.1%

Your Cost: $93.00/claim|Median: $12.12
7.7× median
90837Normal range

Psychotherapy, 60 minutes

$3.1M

32K claims · 3.6%

Your Cost: $95.81/claim|Median: $85.66
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$2.7M

60K claims · 3.2%

Your Cost: $45.13/claim|Median: $91.63
0.5× median
H0046Normal range

Mental health services, not otherwise specified

$2.0M

22K claims · 2.4%

Your Cost: $91.42/claim|Median: $85.02
1.1× median
H0039Top 25%

Assertive community treatment, per diem

$1.5M

2,152 claims · 1.7%

Your Cost: $681.66/claim|Median: $132.62
5.1× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$1.3M

2,030 claims · 1.6%

Your Cost: $660.95/claim|Median: $215.80
3.1× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$990K

9,901 claims · 1.2%

Your Cost: $100.00/claim|Median: $148.53
0.7× median
T2022Normal range

Case management, per month

$982K

7,354 claims · 1.2%

Your Cost: $133.58/claim|Median: $202.77
0.7× median
H2018Top 25%

Psychosocial rehabilitation services, per diem

$717K

897 claims · 0.9%

Your Cost: $799.46/claim|Median: $392.63
2.0× median
90791Normal range

Psychiatric diagnostic evaluation

$706K

5,992 claims · 0.8%

Your Cost: $117.75/claim|Median: $99.21
1.2× median
99213Normal range

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

$652K

17K claims · 0.8%

Your Cost: $37.52/claim|Median: $37.81
1.0× median
H0006Top 5%

Alcohol and/or drug services, case management

$580K

2,652 claims · 0.7%

Your Cost: $218.62/claim|Median: $43.10
5.1× median
99214Normal range

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

$570K

7,575 claims · 0.7%

Your Cost: $75.25/claim|Median: $53.41
1.4× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$458K

4,029 claims · 0.5%

Your Cost: $113.71/claim|Median: $76.05
1.5× median
S9485Top 25%

Crisis intervention mental health services, per diem

$450K

515 claims · 0.5%

Your Cost: $873.01/claim|Median: $501.33
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$417K

5,934 claims · 0.5%

Your Cost: $70.24/claim|Median: $63.65
1.1× median
T2023Normal range

Community transition, waiver; per service

$391K

1,155 claims · 0.5%

Your Cost: $338.77/claim|Median: $300.13
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$371K

7,021 claims · 0.4%

Your Cost: $52.89/claim|Median: $41.28
1.3× median
T2003Normal range

Non-emergency transport; encounter/trip

$357K

52K claims · 0.4%

Your Cost: $6.83/claim|Median: $21.70
0.3× median
T2021Normal range

Day habilitation, waiver; per 15 min

$213K

7,426 claims · 0.3%

Your Cost: $28.74/claim|Median: $150.51
0.2× median
H0024Top 25%

$149K

2,523 claims · 0.2%

Your Cost: $58.98/claim|Median: $27.14
2.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$121K

793 claims · 0.1%

Your Cost: $152.08/claim|Median: $108.91
1.4× median
S9482Normal range

Family stabilization services, per 15 minutes

$107K

632 claims · 0.1%

Your Cost: $170.04/claim|Median: $625.59
0.3× median
H0032Normal range

Mental health service plan development

$63K

983 claims · 0.1%

Your Cost: $64.51/claim|Median: $80.64
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$44K

5,459 claims · 0.1%

Your Cost: $8.10/claim|Median: $9.56
0.8× median
90853Normal range

Group psychotherapy

$42K

2,148 claims · 0.0%

Your Cost: $19.42/claim|Median: $25.02
0.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$26K

328 claims · 0.0%

Your Cost: $80.15/claim|Median: $77.33
1.0× median
90833Normal range

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

$19K

477 claims · 0.0%

Your Cost: $40.66/claim|Median: $38.83
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$15K

695 claims · 0.0%

Your Cost: $21.83/claim|Median: $25.06
0.9× median
Q3014Normal range

Telehealth originating site facility fee

$14K

1,337 claims · 0.0%

Your Cost: $10.73/claim|Median: $15.37
0.7× median
90889Top 25%

$8K

45 claims · 0.0%

Your Cost: $179.11/claim|Median: $56.63
3.2× median
80305Normal range

$4K

445 claims · 0.0%

Your Cost: $8.33/claim|Median: $7.44
1.1× median
90785Normal range

$1K

515 claims · 0.0%

Your Cost: $2.88/claim|Median: $6.43
0.4× median
99406Normal range

$76

21 claims · 0.0%

Your Cost: $3.64/claim|Median: $6.53
0.6× median
36415Normal range

Collection of venous blood by venipuncture

$19

13 claims · 0.0%

Your Cost: $1.47/claim|Median: $1.57
0.9× median

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Virginia Commonwealth University Health System Authority

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Rector & Visitors of the University of Virginia

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$500.5M

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$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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