Is RHA HEALTH SERVICES, INC. flagged for Medicaid fraud?

RHA HEALTH SERVICES, INC. (NPI: 1700918125) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does RHA HEALTH SERVICES, INC. bill Medicaid?

RHA HEALTH SERVICES, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in ASHEVILLE, NC.

What is NPI 1700918125?

NPI 1700918125 is the National Provider Identifier for RHA HEALTH SERVICES, INC.. They are a Community/Behavioral Health provider based in ASHEVILLE, NC. This NPI is registered with the CMS NPI Registry.

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RHA HEALTH SERVICES, INC.

Community/Behavioral Health·ASHEVILLE, NC·NPI: 1700918125Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.1M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$30.1M

$30,063,714

Total Claims

165K

Beneficiaries

48K

3.5 claims/patient

Avg Cost/Claim

$183

Monthly Spending Trend

Yearly Spending

2018

$3.0M

+2%

2019

$3.1M

+20%

2020

$3.7M

+72%

2021

$6.3M

-7%

2022

$5.9M

-26%

2023

$4.4M

-17%

2024

$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 42% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0040Assertive community treatment, face-to-face, per 15 minutesSee all providers →

$12.7M

33K claims

$389.57

$266.41

1.5×

Normal range

H0040Normal range

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

$12.7M

33K claims · 42.4%

Your Cost: $389.57/claim|Median: $266.41

1.5× median

H2022Community-based wrap-around services, per diemSee all providers →

$7.3M

28K claims

$259.02

$336.31

0.8×

Normal range

H2022Normal range

Community-based wrap-around services, per diem

$7.3M

28K claims · 24.4%

Your Cost: $259.02/claim|Median: $336.31

0.8× median

H2015Comprehensive community support services, per 15 minSee all providers →

$4.6M

23K claims

$202.85

$96.24

2.1×

Top 25%

H2015Top 25%

Comprehensive community support services, per 15 min

$4.6M

23K claims · 15.2%

Your Cost: $202.85/claim|Median: $96.24

2.1× median

90834Psychotherapy, 45 minutesSee all providers →

$2.5M

34K claims

$75.34

$63.65

1.2×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$2.5M

34K claims · 8.4%

Your Cost: $75.34/claim|Median: $63.65

1.2× median

90853Group psychotherapySee all providers →

$901K

26K claims

$34.28

$25.02

1.4×

Normal range

90853Normal range

Group psychotherapy

$901K

26K claims · 3.0%

Your Cost: $34.28/claim|Median: $25.02

1.4× median

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

$535K

6,557 claims

$81.57

$53.41

1.5×

Top 25%

99214Top 25%

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

$535K

6,557 claims · 1.8%

Your Cost: $81.57/claim|Median: $53.41

1.5× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$377K

2,647 claims

$142.46

$129.75

1.1×

Normal range

H0015Normal range

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

$377K

2,647 claims · 1.3%

Your Cost: $142.46/claim|Median: $129.75

1.1× median

H0032Mental health service plan developmentSee all providers →

$342K

1,176 claims

$290.99

$80.64

3.6×

Top 5%

H0032Top 5%

Mental health service plan development

$342K

1,176 claims · 1.1%

Your Cost: $290.99/claim|Median: $80.64

3.6× median

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

$285K

4,507 claims

$63.21

$55.04

1.1×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$285K

4,507 claims · 0.9%

Your Cost: $63.21/claim|Median: $55.04

1.1× median

90832Psychotherapy, 30 minutesSee all providers →

$167K

3,237 claims

$51.66

$41.28

1.3×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$167K

3,237 claims · 0.6%

Your Cost: $51.66/claim|Median: $41.28

1.3× median

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

$125K

1,774 claims

$70.25

$37.81

1.9×

Top 25%

99213Top 25%

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

$125K

1,774 claims · 0.4%

Your Cost: $70.25/claim|Median: $37.81

1.9× median

90847Family psychotherapy with patient, 50 minSee all providers →

$63K

577 claims

$108.94

$77.33

1.4×

Top 25%

90847Top 25%

Family psychotherapy with patient, 50 min

$63K

577 claims · 0.2%

Your Cost: $108.94/claim|Median: $77.33

1.4× median

90791Psychiatric diagnostic evaluationSee all providers →

$26K

215 claims

$119.30

$99.21

1.2×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$26K

215 claims · 0.1%

Your Cost: $119.30/claim|Median: $99.21

1.2× median

90837Psychotherapy, 60 minutesSee all providers →

$23K

321 claims

$70.10

$85.66

0.8×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$23K

321 claims · 0.1%

Your Cost: $70.10/claim|Median: $85.66

0.8× median

H2022CR See all providers →

$13K

51 claims

$258.20

1.0×

Top 1%

H2022CRTop 1%

$13K

51 claims · 0.0%

Your Cost: $258.20/claim|Median: $258.20

1.0× median

H2022GT See all providers →

$9K

34 claims

$258.20

1.0×

Top 25%

H2022GTTop 25%

$9K

34 claims · 0.0%

Your Cost: $258.20/claim|Median: $258.20

1.0× median

H0015GT See all providers →

$5K

36 claims

$148.52

1.0×

Top 1%

H0015GTTop 1%

$5K

36 claims · 0.0%

Your Cost: $148.52/claim|Median: $148.52

1.0× median

H2015HT See all providers →

$4K

26 claims

$164.43

$173.43

0.9×

Normal range

H2015HTNormal range

$4K

26 claims · 0.0%

Your Cost: $164.43/claim|Median: $173.43

0.9× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$2K

16 claims

$154.48

$108.91

1.4×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

16 claims · 0.0%

Your Cost: $154.48/claim|Median: $108.91

1.4× median

90846Family psychotherapy without patient, 50 minSee all providers →

$2K

24 claims

$93.20

$76.61

1.2×

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

$2K

24 claims · 0.0%

Your Cost: $93.20/claim|Median: $76.61

1.2× median

98966 See all providers →

$125

18 claims

$6.94

$6.84

1.0×

Normal range

98966Normal range

$125

18 claims · 0.0%

Your Cost: $6.94/claim|Median: $6.84

1.0× median

90833Psychotherapy, 30 min, add-on to E/M serviceSee all providers →

36 claims

$0.00

$38.83

—

Normal range

90833Normal range

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

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.83

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