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FOUR OAKS FAMILY AND CHILDREN'S SERVICES

Psychiatric Residential Treatment Facility·CEDAR RAPIDS, IA·NPI: 1710046255Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$27.3M

$27,346,028

Total Claims

382K

Beneficiaries

163K

2.3 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+1%
2019
$3.3M
+8%
2020
$3.6M
+7%
2021
$3.9M
+30%
2022
$5.0M
-10%
2023
$4.5M
-20%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 41% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$11.3M

147K claims · 41.2%

Your Cost: $76.44/claim|Median: $357.16
0.2× median
99490Top 1%

Chronic care management services, 20 minutes per month

$10.4M

88K claims · 38.0%

Your Cost: $118.39/claim|Median: $6.31
18.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$2.4M

28K claims · 8.9%

Your Cost: $87.50/claim|Median: $84.12
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$2.2M

33K claims · 7.9%

Your Cost: $65.98/claim|Median: $63.65
1.0× median
90853Normal range

Group psychotherapy

$277K

7,197 claims · 1.0%

Your Cost: $38.45/claim|Median: $25.02
1.5× median
90832Normal range

Psychotherapy, 30 minutes

$226K

4,858 claims · 0.8%

Your Cost: $46.45/claim|Median: $41.28
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$221K

2,184 claims · 0.8%

Your Cost: $101.34/claim|Median: $99.21
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$196K

3,057 claims · 0.7%

Your Cost: $64.22/claim|Median: $77.33
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$147K

2,037 claims · 0.5%

Your Cost: $72.16/claim|Median: $85.66
0.8× median
Q3014Normal range

Telehealth originating site facility fee

$28K

2,625 claims · 0.1%

Your Cost: $10.67/claim|Median: $15.37
0.7× median
H0031Normal range

Mental health assessment by non-physician

$11K

102 claims · 0.0%

Your Cost: $105.10/claim|Median: $96.18
1.1× median
90846Normal range

Family psychotherapy without patient, 50 min

$2K

38 claims · 0.0%

Your Cost: $50.19/claim|Median: $76.61
0.7× median
90785Normal range

$519

225 claims · 0.0%

Your Cost: $2.31/claim|Median: $6.43
0.4× median
G0506Normal range

Comprehensive assessment of chronic care management

$57

4,826 claims · 0.0%

Your Cost: $0.01/claim|Median: $7.41
0.0× median
G9008Normal range

Coordination of long-term care services, per month

$33

48K claims · 0.0%

Your Cost: $0.00/claim|Median: $66.78
0.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$0

3,041 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04
99426Normal range

$0

622 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06
99439Normal range

$0

5,414 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.83
S0281Normal range

$0

1,025 claims · 0.0%

Your Cost: $0.00/claim|Median: $92.97
G2058Normal range

$0

1,363 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.40

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