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PIEDMONT REGIONAL COMMUNITY SERVICES BOARD

Community/Behavioral Health·MARTINSVILLE, VA·NPI: 1699754010Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $93.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$93.8M

$93,848,697

Total Claims

443K

Beneficiaries

266K

1.7 claims/patient

Avg Cost/Claim

$212

Monthly Spending Trend

Yearly Spending

2018
$11.5M
+13%
2019
$13.0M
-4%
2020
$12.5M
+7%
2021
$13.4M
+7%
2022
$14.4M
+4%
2023
$15.0M
-7%
2024
$13.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 46 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

$32.7M

96K claims · 34.8%

Your Cost: $338.83/claim|Median: $53.97
6.3× median
H2022Top 5%

Community-based wrap-around services, per diem

$21.5M

2,743 claims · 22.9%

Your Cost: $7,829.80/claim|Median: $336.31
23.3× median
T1017Top 5%

Targeted case management, per 15 min

$11.5M

34K claims · 12.3%

Your Cost: $343.33/claim|Median: $69.56
4.9× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$4.4M

82K claims · 4.7%

Your Cost: $53.67/claim|Median: $91.63
0.6× median
H0015Top 10%

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

$2.8M

12K claims · 3.0%

Your Cost: $229.67/claim|Median: $129.75
1.8× median
H2014Top 1%

Skills training & development, per 15 min

$2.5M

984 claims · 2.7%

Your Cost: $2,569.01/claim|Median: $83.88
30.6× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$2.1M

24K claims · 2.2%

Your Cost: $87.24/claim|Median: $148.53
0.6× median
90837Top 25%

Psychotherapy, 60 minutes

$2.0M

17K claims · 2.1%

Your Cost: $117.86/claim|Median: $85.66
1.4× median
H0040Normal range

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

$1.7M

9,803 claims · 1.8%

Your Cost: $175.95/claim|Median: $266.41
0.7× median
H0039Top 25%

Assertive community treatment, per diem

$1.7M

7,235 claims · 1.8%

Your Cost: $231.75/claim|Median: $132.62
1.7× median
T2022Normal range

Case management, per month

$1.2M

8,764 claims · 1.3%

Your Cost: $136.24/claim|Median: $202.77
0.7× median
99214Normal range

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

$1.2M

19K claims · 1.3%

Your Cost: $63.81/claim|Median: $53.41
1.2× median
90834Top 25%

Psychotherapy, 45 minutes

$1.0M

12K claims · 1.1%

Your Cost: $82.89/claim|Median: $63.65
1.3× median
99213Normal range

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

$978K

21K claims · 1.0%

Your Cost: $45.85/claim|Median: $37.81
1.2× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$939K

1,515 claims · 1.0%

Your Cost: $619.74/claim|Median: $215.80
2.9× median
H0006Top 5%

Alcohol and/or drug services, case management

$876K

3,791 claims · 0.9%

Your Cost: $231.08/claim|Median: $43.10
5.4× median
T2023Normal range

Community transition, waiver; per service

$780K

2,518 claims · 0.8%

Your Cost: $309.96/claim|Median: $300.13
1.0× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$724K

3,505 claims · 0.8%

Your Cost: $206.51/claim|Median: $76.05
2.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$703K

5,330 claims · 0.7%

Your Cost: $131.83/claim|Median: $99.21
1.3× median
90832Top 25%

Psychotherapy, 30 minutes

$458K

6,979 claims · 0.5%

Your Cost: $65.67/claim|Median: $41.28
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$412K

4,169 claims · 0.4%

Your Cost: $98.91/claim|Median: $74.09
1.3× median
H0046Normal range

Mental health services, not otherwise specified

$361K

2,929 claims · 0.4%

Your Cost: $123.38/claim|Median: $85.02
1.5× median
G9012Normal range

Other specified case management service, per 15 minutes

$230K

983 claims · 0.2%

Your Cost: $234.41/claim|Median: $137.85
1.7× median
Q3014Normal range

Telehealth originating site facility fee

$198K

9,140 claims · 0.2%

Your Cost: $21.66/claim|Median: $15.37
1.4× median
90853Normal range

Group psychotherapy

$182K

7,633 claims · 0.2%

Your Cost: $23.86/claim|Median: $25.02
1.0× median
80305Top 25%

$143K

12K claims · 0.2%

Your Cost: $11.61/claim|Median: $7.44
1.6× median
S9445Top 25%

$102K

2,821 claims · 0.1%

Your Cost: $36.02/claim|Median: $12.72
2.8× median
T2003Normal range

Non-emergency transport; encounter/trip

$89K

16K claims · 0.1%

Your Cost: $5.48/claim|Median: $21.70
0.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$85K

2,052 claims · 0.1%

Your Cost: $41.53/claim|Median: $47.35
0.9× median
H0032Normal range

Mental health service plan development

$64K

1,265 claims · 0.1%

Your Cost: $50.81/claim|Median: $80.64
0.6× median
S9482Normal range

Family stabilization services, per 15 minutes

$42K

275 claims · 0.0%

Your Cost: $154.05/claim|Median: $625.59
0.2× median
T1012Normal range

Alcohol/drug services, skills development

$40K

808 claims · 0.0%

Your Cost: $49.65/claim|Median: $40.78
1.2× median
A0120Normal range

Non-emergency mini-bus transport

$31K

3,763 claims · 0.0%

Your Cost: $8.34/claim|Median: $16.09
0.5× median
90785Top 25%

$31K

2,633 claims · 0.0%

Your Cost: $11.86/claim|Median: $6.43
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$30K

887 claims · 0.0%

Your Cost: $33.70/claim|Median: $25.06
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$26K

3,495 claims · 0.0%

Your Cost: $7.42/claim|Median: $9.56
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$19K

197 claims · 0.0%

Your Cost: $97.47/claim|Median: $108.91
0.9× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$16K

158 claims · 0.0%

Your Cost: $101.73/claim|Median: $106.70
1.0× median
H0024Top 25%

$7K

113 claims · 0.0%

Your Cost: $61.12/claim|Median: $27.14
2.3× median
T1027Top 25%

Family training and counseling, per 15 minutes

$5K

56 claims · 0.0%

Your Cost: $97.24/claim|Median: $53.00
1.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$5K

81 claims · 0.0%

Your Cost: $64.00/claim|Median: $74.63
0.9× median
98968Normal range

$4K

330 claims · 0.0%

Your Cost: $10.98/claim|Median: $28.39
0.4× median
H0025Normal range

Behavioral health prevention education, per session

$508

107 claims · 0.0%

Your Cost: $4.74/claim|Median: $36.25
0.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$345

52 claims · 0.0%

Your Cost: $6.64/claim|Median: $32.55
0.2× median
98967Normal range

$302

40 claims · 0.0%

Your Cost: $7.56/claim|Median: $18.97
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$165

15 claims · 0.0%

Your Cost: $11.00/claim|Median: $12.93
0.9× median

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$309.5M

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$288.2M

Similar Providers

Other top providers in Community/Behavioral Health

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Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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