Valley Oaks Health INC

Clinic/Center, Mental Health (Including Community Mental Health Center)·Lafayette, IN·NPI: 1689629990Share

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 $135.9M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$135.9M

$135,907,423

Total Claims

1.7M

Beneficiaries

610K

2.8 claims/patient

Avg Cost/Claim

$79

#832 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Valley Oaks Health INC is a Clinic/Center, Mental Health (Including Community Mental Health Center) provider based in Lafayette, IN. From the 2018–2024 period, this provider received $135.9M in Medicaid payments across 1.7M claims.

Why This Matters

This provider received $135.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,988 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 20% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018

$17.9M

+16%

2019

$20.8M

-20%

2020

$16.6M

+16%

2021

$19.2M

+1%

2022

$19.3M

+7%

2023

$20.6M

+4%

2024

$21.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2014 (Skills training & development, per 15 min)) accounts for 77% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2014Skills training & development, per 15 minSee all providers →

$104.6M

947K claims

$110.42

$83.88

1.3×

Normal range

H2014Normal range

Skills training & development, per 15 min

$104.6M

947K claims · 76.9%

Your Cost: $110.42/claim|Median: $83.88

1.3× median

T1016Case management, each 15 minSee all providers →

$8.0M

248K claims

$32.37

$49.62

0.7×

Normal range

T1016Normal range

Case management, each 15 min

$8.0M

248K claims · 5.9%

Your Cost: $32.37/claim|Median: $49.62

0.7× median

90834Psychotherapy, 45 minutesSee all providers →

$5.7M

132K claims

$43.44

$63.65

0.7×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$5.7M

132K claims · 4.2%

Your Cost: $43.44/claim|Median: $63.65

0.7× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$3.9M

66K claims

$59.51

$53.41

1.1×

Normal range

99214Normal range

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

$3.9M

66K claims · 2.9%

Your Cost: $59.51/claim|Median: $53.41

1.1× median

90837Psychotherapy, 60 minutesSee all providers →

$3.6M

48K claims

$75.23

$85.66

0.9×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$3.6M

48K claims · 2.6%

Your Cost: $75.23/claim|Median: $85.66

0.9× median

H0031Mental health assessment by non-physicianSee all providers →

$2.3M

39K claims

$58.06

$96.18

0.6×

Normal range

H0031Normal range

Mental health assessment by non-physician

$2.3M

39K claims · 1.7%

Your Cost: $58.06/claim|Median: $96.18

0.6× median

90832Psychotherapy, 30 minutesSee all providers →

$1.6M

43K claims

$36.30

$41.28

0.9×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$1.6M

43K claims · 1.2%

Your Cost: $36.30/claim|Median: $41.28

0.9× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$1.5M

41K claims

$37.50

$37.81

1.0×

Normal range

99213Normal range

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

$1.5M

41K claims · 1.1%

Your Cost: $37.50/claim|Median: $37.81

1.0× median

H0034Medication training and management, per 15 minSee all providers →

$1.2M

62K claims

$19.12

$56.90

0.3×

Normal range

H0034Normal range

Medication training and management, per 15 min

$1.2M

62K claims · 0.9%

Your Cost: $19.12/claim|Median: $56.90

0.3× median

90791Psychiatric diagnostic evaluationSee all providers →

$1.2M

16K claims

$74.31

$99.21

0.8×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$1.2M

16K claims · 0.9%

Your Cost: $74.31/claim|Median: $99.21

0.8× median

90853Group psychotherapySee all providers →

$528K

36K claims

$14.84

$25.02

0.6×

Normal range

90853Normal range

Group psychotherapy

$528K

36K claims · 0.4%

Your Cost: $14.84/claim|Median: $25.02

0.6× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$309K

3K claims

$94.06

$74.63

1.3×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$309K

3K claims · 0.2%

Your Cost: $94.06/claim|Median: $74.63

1.3× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$281K

3K claims

$107.15

$215.80

0.5×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$281K

3K claims · 0.2%

Your Cost: $107.15/claim|Median: $215.80

0.5× median

99215Office/outpatient visit, high complexitySee all providers →

$238K

3K claims

$76.74

$74.09

1.0×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$238K

3K claims · 0.2%

Your Cost: $76.74/claim|Median: $74.09

1.0× median

90847Family psychotherapy with patient, 50 minSee all providers →

$205K

4K claims

$56.61

$77.33

0.7×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$205K

4K claims · 0.2%

Your Cost: $56.61/claim|Median: $77.33

0.7× median

T2022Case management, per monthSee all providers →

$155K

225 claims

$687.17

$202.77

3.4×

Top 5%

T2022Top 5%

Case management, per month

$155K

225 claims · 0.1%

Your Cost: $687.17/claim|Median: $202.77

3.4× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$115K

2K claims

$74.83

$84.03

0.9×

Normal range

99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$115K

2K claims · 0.1%

Your Cost: $74.83/claim|Median: $84.03

0.9× median

99205Office/outpatient visit, new patient, high complexitySee all providers →

$112K

1K claims

$104.62

$111.09

0.9×

Normal range

99205Normal range

Office/outpatient visit, new patient, high complexity

$112K

1K claims · 0.1%

Your Cost: $104.62/claim|Median: $111.09

0.9× median

H0005Alcohol and/or drug services, group counselingSee all providers →

$94K

4K claims

$22.76

$47.35

0.5×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$94K

4K claims · 0.1%

Your Cost: $22.76/claim|Median: $47.35

0.5× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$78K

10K claims

$8.15

$9.56

0.8×

Normal range

96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$78K

10K claims · 0.1%

Your Cost: $8.15/claim|Median: $9.56

0.8× median

99212Office/outpatient visit, low complexitySee all providers →

$75K

4K claims

$18.22

$25.06

0.7×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$75K

4K claims · 0.1%

Your Cost: $18.22/claim|Median: $25.06

0.7× median

90846Family psychotherapy without patient, 50 minSee all providers →

$62K

1K claims

$55.89

$76.61

0.7×

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

$62K

1K claims · 0.0%

Your Cost: $55.89/claim|Median: $76.61

0.7× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$18K

394 claims

$46.25

$55.04

0.8×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$18K

394 claims · 0.0%

Your Cost: $46.25/claim|Median: $55.04

0.8× median

99442Telephone E/M by physician, 11-20 minutesSee all providers →

$18K

2K claims

$9.27

$22.44

0.4×

Normal range

99442Normal range

Telephone E/M by physician, 11-20 minutes

$18K

2K claims · 0.0%

Your Cost: $9.27/claim|Median: $22.44

0.4× median

90839Psychotherapy for crisis, first 60 minSee all providers →

$8K

122 claims

$69.21

$83.98

0.8×

Normal range

90839Normal range

Psychotherapy for crisis, first 60 min

$8K

122 claims · 0.0%

Your Cost: $69.21/claim|Median: $83.98

0.8× median

S9484Crisis intervention mental health services, per hourSee all providers →

$6K

73 claims

$88.40

$249.51

0.3×

Normal range

S9484Normal range

Crisis intervention mental health services, per hour

$6K

73 claims · 0.0%

Your Cost: $88.40/claim|Median: $249.51

0.3× median

80305 See all providers →

$6K

841 claims

$7.53

$7.44

1.0×

Normal range

80305Normal range

$6K

841 claims · 0.0%

Your Cost: $7.53/claim|Median: $7.44

1.0× median

Q3014Telehealth originating site facility feeSee all providers →

$6K

492 claims

$12.37

$15.37

0.8×

Normal range

Q3014Normal range

Telehealth originating site facility fee

$6K

492 claims · 0.0%

Your Cost: $12.37/claim|Median: $15.37

0.8× median

G2063 See all providers →

$6K

3K claims

$2.23

$8.44

0.3×

Normal range

G2063Normal range

$6K

3K claims · 0.0%

Your Cost: $2.23/claim|Median: $8.44

0.3× median

H2035Alcohol and/or drug treatment, per hourSee all providers →

$3K

70 claims

$42.49

$94.63

0.5×

Normal range

H2035Normal range

Alcohol and/or drug treatment, per hour

$3K

70 claims · 0.0%

Your Cost: $42.49/claim|Median: $94.63

0.5× median

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