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ACCESS OHIO, LLC

Community/Behavioral Health·COLUMBUS, OH·NPI: 1689763740Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $72.5M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$72.5M

$72,545,517

Total Claims

1.1M

Beneficiaries

782K

1.4 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$8.9M
+8%
2019
$9.7M
+28%
2020
$12.3M
-11%
2021
$11.0M
-8%
2022
$10.1M
+7%
2023
$10.9M
-11%
2024
$9.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 38 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 27% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$19.8M

308K claims · 27.3%

Your Cost: $64.26/claim|Median: $84.12
0.8× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$17.0M

303K claims · 23.5%

Your Cost: $56.29/claim|Median: $76.05
0.7× median
99214Top 25%

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

$15.4M

162K claims · 21.2%

Your Cost: $94.78/claim|Median: $53.41
1.8× median
99213Top 25%

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

$5.4M

83K claims · 7.4%

Your Cost: $64.92/claim|Median: $37.81
1.7× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$4.8M

112K claims · 6.6%

Your Cost: $43.01/claim|Median: $91.63
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$4.1M

46K claims · 5.6%

Your Cost: $88.25/claim|Median: $85.66
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$1.4M

15K claims · 1.9%

Your Cost: $89.67/claim|Median: $99.21
0.9× median
H0040Normal range

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

$1.2M

5,361 claims · 1.7%

Your Cost: $226.16/claim|Median: $266.41
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$927K

15K claims · 1.3%

Your Cost: $61.05/claim|Median: $63.65
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$807K

17K claims · 1.1%

Your Cost: $47.76/claim|Median: $41.28
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$622K

5,238 claims · 0.9%

Your Cost: $118.80/claim|Median: $74.09
1.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$348K

1,988 claims · 0.5%

Your Cost: $174.90/claim|Median: $111.09
1.6× median
90833Normal range

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

$251K

5,512 claims · 0.3%

Your Cost: $45.50/claim|Median: $38.83
1.2× median
99204Top 10%

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

$214K

1,323 claims · 0.3%

Your Cost: $161.83/claim|Median: $84.03
1.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$120K

1,329 claims · 0.2%

Your Cost: $90.36/claim|Median: $108.91
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$52K

1,563 claims · 0.1%

Your Cost: $33.31/claim|Median: $74.63
0.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$50K

1,618 claims · 0.1%

Your Cost: $31.15/claim|Median: $35.30
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$26K

678 claims · 0.0%

Your Cost: $39.08/claim|Median: $25.06
1.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$21K

1,429 claims · 0.0%

Your Cost: $14.55/claim|Median: $9.56
1.5× median
99203Top 25%

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

$16K

170 claims · 0.0%

Your Cost: $92.99/claim|Median: $57.85
1.6× median
99223Normal range

Initial hospital care, per day, high complexity

$8K

214 claims · 0.0%

Your Cost: $36.27/claim|Median: $67.32
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$2K

112 claims · 0.0%

Your Cost: $21.32/claim|Median: $43.85
0.5× median
90853Normal range

Group psychotherapy

$2K

81 claims · 0.0%

Your Cost: $21.10/claim|Median: $25.02
0.8× median
T1002Normal range

RN services, per 15 minutes

$798

2,020 claims · 0.0%

Your Cost: $0.40/claim|Median: $37.42
0.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$270

556 claims · 0.0%

Your Cost: $0.49/claim|Median: $24.24
0.0× median
99406Normal range

$264

101 claims · 0.0%

Your Cost: $2.61/claim|Median: $6.53
0.4× median
H0048Normal range

$238

503 claims · 0.0%

Your Cost: $0.47/claim|Median: $13.25
0.0× median
G0179Top 25%

Physician recertification for home health plan of care

$237

18 claims · 0.0%

Your Cost: $13.16/claim|Median: $6.63
2.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$125

82 claims · 0.0%

Your Cost: $1.52/claim|Median: $14.00
0.1× median
82962Normal range

Blood glucose test by monitoring device

$57

469 claims · 0.0%

Your Cost: $0.12/claim|Median: $1.40
0.1× median
90785Normal range

$55

12 claims · 0.0%

Your Cost: $4.60/claim|Median: $6.43
0.7× median
G2211Normal range

$54

113 claims · 0.0%

Your Cost: $0.48/claim|Median: $2.40
0.2× median
94762Normal range

$30

38 claims · 0.0%

Your Cost: $0.78/claim|Median: $9.98
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$18

19 claims · 0.0%

Your Cost: $0.96/claim|Median: $2.00
0.5× median
36416Normal range

$11

503 claims · 0.0%

Your Cost: $0.02/claim|Median: $1.31
0.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$3

21 claims · 0.0%

Your Cost: $0.15/claim|Median: $9.80
0.0× median
80100Normal range

$0

174 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.92
99051Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.89

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