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THE UNITY HOSPITAL OF ROCHESTER

Clinic/Center, Rehabilitation, Substance Use Disorder·ROCHESTER, NY·NPI: 1689891178Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.3M is at the 75th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Active Billing Period:2018-122024-12(73 months)

Total Paid

$28.3M

$28,320,596

Total Claims

265K

Beneficiaries

132K

2.0 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$3K
+78389%
2019
$2.1M
+240%
2020
$7.0M
-10%
2021
$6.3M
-19%
2022
$5.1M
-9%
2023
$4.6M
-30%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (G0396 (Alcohol/substance abuse structured assessment, 15-30 minutes)) accounts for 27% of total spending.

G0396Top 25%

Alcohol/substance abuse structured assessment, 15-30 minutes

$7.6M

68K claims · 26.7%

Your Cost: $110.72/claim|Median: $40.58
2.7× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$5.4M

86K claims · 18.9%

Your Cost: $62.14/claim|Median: $47.35
1.3× median
G0397Normal range

$5.0M

35K claims · 17.6%

Your Cost: $144.18/claim|Median: $142.31
1.0× median
H0001Top 25%

Alcohol and/or drug assessment

$3.1M

20K claims · 11.1%

Your Cost: $155.38/claim|Median: $94.22
1.6× median
J2315Normal range

$2.6M

2,169 claims · 9.2%

Your Cost: $1,195.91/claim|Median: $1,045.36
1.1× median
99213Top 5%

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

$2.1M

17K claims · 7.5%

Your Cost: $128.15/claim|Median: $37.81
3.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$549K

9,625 claims · 1.9%

Your Cost: $57.04/claim|Median: $74.63
0.8× median
99214Top 5%

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

$528K

3,960 claims · 1.9%

Your Cost: $133.28/claim|Median: $53.41
2.5× median
90832Top 25%

Psychotherapy, 30 minutes

$445K

5,240 claims · 1.6%

Your Cost: $84.86/claim|Median: $41.28
2.1× median
90834Top 10%

Psychotherapy, 45 minutes

$364K

2,876 claims · 1.3%

Your Cost: $126.64/claim|Median: $63.65
2.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$169K

4,457 claims · 0.6%

Your Cost: $37.86/claim|Median: $55.04
0.7× median
H0002Top 10%

Behavioral health screening

$110K

657 claims · 0.4%

Your Cost: $167.61/claim|Median: $38.77
4.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$108K

752 claims · 0.4%

Your Cost: $143.82/claim|Median: $215.80
0.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$70K

4,275 claims · 0.2%

Your Cost: $16.34/claim|Median: $9.56
1.7× median
99215Top 25%

Office/outpatient visit, high complexity

$45K

370 claims · 0.2%

Your Cost: $120.61/claim|Median: $74.09
1.6× median
H0050Normal range

$32K

563 claims · 0.1%

Your Cost: $56.83/claim|Median: $46.71
1.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$24K

1,154 claims · 0.1%

Your Cost: $20.55/claim|Median: $12.93
1.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$22K

600 claims · 0.1%

Your Cost: $37.04/claim|Median: $35.43
1.0× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$18K

1,281 claims · 0.1%

Your Cost: $14.04/claim|Median: $37.56
0.4× median
90853Normal range

Group psychotherapy

$15K

715 claims · 0.1%

Your Cost: $21.38/claim|Median: $25.02
0.9× median
H0014Normal range

$14K

115 claims · 0.0%

Your Cost: $120.72/claim|Median: $137.81
0.9× median
90847Top 10%

Family psychotherapy with patient, 50 min

$14K

69 claims · 0.0%

Your Cost: $200.49/claim|Median: $77.33
2.6× median
99212Top 5%

Office/outpatient visit, low complexity

$11K

83 claims · 0.0%

Your Cost: $128.92/claim|Median: $25.06
5.1× median
90849Normal range

Multiple-family group psychotherapy

$8K

129 claims · 0.0%

Your Cost: $59.59/claim|Median: $40.78
1.5× median
90882Normal range

Environmental intervention

$3K

202 claims · 0.0%

Your Cost: $14.54/claim|Median: $45.05
0.3× median
H2010Normal range

Comprehensive medication services, per 15 min

$2K

28 claims · 0.0%

Your Cost: $84.78/claim|Median: $62.69
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$768

20 claims · 0.0%

Your Cost: $38.42/claim|Median: $26.41
1.5× median

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