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HUMAN SERVICE AGENCY

Counselor, Addiction (Substance Use Disorder)·WATERTOWN, SD·NPI: 1720074644Share

Compared to Counselor, Addiction (Substance Use Disorder) Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.0M is at the 50th percentile among 20 Counselor, Addiction (Substance Use Disorder) providers.

Active Billing Period:2018-01→2024-11(79 months)

Total Paid

$39.0M

$38,999,256

Total Claims

104K

Beneficiaries

55K

1.9 claims/patient

Avg Cost/Claim

$374

Monthly Spending Trend

Yearly Spending

2018
$5.6M
+5%
2019
$5.8M
-33%
2020
$3.9M
+57%
2021
$6.2M
-8%
2022
$5.7M
+1%
2023
$5.7M
+6%
2024
$6.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 61% of total spending.

T2016Top 25%

Habilitation, residential, waiver; per diem

$23.8M

8,316 claims · 60.9%

Your Cost: $2,858.33/claim|Median: $331.94
8.6× median
T2020Top 5%

Day habilitation, waiver; per diem

$5.3M

6,898 claims · 13.6%

Your Cost: $771.56/claim|Median: $87.34
8.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$2.4M

31K claims · 6.2%

Your Cost: $78.39/claim|Median: $321.53
0.2× median
S0281Top 10%

$2.4M

7,650 claims · 6.1%

Your Cost: $309.81/claim|Median: $92.97
3.3× median
90832Top 10%

Psychotherapy, 30 minutes

$1.1M

12K claims · 2.9%

Your Cost: $97.44/claim|Median: $41.28
2.4× median
H2021Normal range

Community-based wrap-around services, per 15 min

$953K

12K claims · 2.4%

Your Cost: $80.39/claim|Median: $169.11
0.5× median
T2017Top 25%

Habilitation, residential, waiver; 15 min

$777K

933 claims · 2.0%

Your Cost: $832.87/claim|Median: $137.32
6.1× median
90863Top 10%

$558K

6,206 claims · 1.4%

Your Cost: $89.91/claim|Median: $29.71
3.0× median
T2014Top 10%

Habilitation, prevocational, waiver, per hour

$545K

1,451 claims · 1.4%

Your Cost: $375.67/claim|Median: $74.75
5.0× median
90791Normal range

Psychiatric diagnostic evaluation

$271K

2,556 claims · 0.7%

Your Cost: $106.14/claim|Median: $99.21
1.1× median
T2018Normal range

$253K

2,222 claims · 0.6%

Your Cost: $113.92/claim|Median: $117.28
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$137K

2,661 claims · 0.4%

Your Cost: $51.60/claim|Median: $47.35
1.1× median
W0037Top 5%

$122K

1,715 claims · 0.3%

Your Cost: $70.96/claim|Median: $3.00
23.7× median
T2028Normal range

Specialized supply, NOS; per unit

$103K

2,415 claims · 0.3%

Your Cost: $42.47/claim|Median: $79.30
0.5× median
H0015Normal range

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

$48K

631 claims · 0.1%

Your Cost: $76.06/claim|Median: $129.75
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$38K

551 claims · 0.1%

Your Cost: $69.78/claim|Median: $74.63
0.9× median
99214Normal range

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

$32K

1,304 claims · 0.1%

Your Cost: $24.20/claim|Median: $53.41
0.5× median
90853Top 5%

Group psychotherapy

$29K

312 claims · 0.1%

Your Cost: $93.38/claim|Median: $25.02
3.7× median
T1012Normal range

Alcohol/drug services, skills development

$28K

873 claims · 0.1%

Your Cost: $31.63/claim|Median: $40.78
0.8× median
99213Normal range

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

$24K

1,325 claims · 0.1%

Your Cost: $18.34/claim|Median: $37.81
0.5× median
T2035Normal range

$16K

800 claims · 0.0%

Your Cost: $19.87/claim|Median: $295.07
0.1× median
H0001Normal range

Alcohol and/or drug assessment

$15K

108 claims · 0.0%

Your Cost: $134.76/claim|Median: $94.22
1.4× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$9K

477 claims · 0.0%

Your Cost: $18.11/claim|Median: $88.91
0.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$4K

116 claims · 0.0%

Your Cost: $31.30/claim|Median: $22.44
1.4× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$1K

15 claims · 0.0%

Your Cost: $73.70/claim|Median: $32.55
2.3× median
T2025Normal range

Waiver services, NOS; per 15 min

$754

79 claims · 0.0%

Your Cost: $9.55/claim|Median: $124.39
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$480

20 claims · 0.0%

Your Cost: $23.99/claim|Median: $85.66
0.3× median
A0120Normal range

Non-emergency mini-bus transport

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $16.09

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Similar Providers

Other top providers in Counselor, Addiction (Substance Use Disorder)

Community Health Center INC

Middletown, CT

$533.3M

State of Missouri

Jefferson City, MO

$271.6M

San Joaquin Behavioral Health Services

Stockton, CA

$211.5M

Scioto County Counseling Center, INC

Portsmouth, OH

$166.1M

Community Health Care, Inc.

Westfield, MA

$127.2M

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