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FRONTIER HEALTH

Clinic/Center, Mental Health (Including Community Mental Health Center)·GRAY, TN·NPI: 1720147408Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $105.2M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$105.2M

$105,237,059

Total Claims

1.8M

Beneficiaries

1.1M

1.7 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$11.8M
-2%
2019
$11.5M
+14%
2020
$13.1M
+22%
2021
$16.0M
+15%
2022
$18.3M
+14%
2023
$20.9M
-34%
2024
$13.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (S0280 (Medical home program, comprehensive care management)) accounts for 40% of total spending.

S0280Normal range

Medical home program, comprehensive care management

$41.8M

273K claims · 39.7%

Your Cost: $153.13/claim|Median: $48.38
3.2× median
90834Normal range

Psychotherapy, 45 minutes

$15.6M

274K claims · 14.9%

Your Cost: $57.10/claim|Median: $63.65
0.9× median
H0043Normal range

Supported housing, per diem

$14.4M

209K claims · 13.7%

Your Cost: $69.05/claim|Median: $164.87
0.4× median
99213Normal range

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

$5.1M

128K claims · 4.9%

Your Cost: $40.16/claim|Median: $37.81
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$2.9M

41K claims · 2.7%

Your Cost: $70.14/claim|Median: $77.33
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$2.7M

71K claims · 2.6%

Your Cost: $38.48/claim|Median: $41.28
0.9× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$2.6M

33K claims · 2.5%

Your Cost: $78.79/claim|Median: $91.63
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$2.6M

32K claims · 2.4%

Your Cost: $81.15/claim|Median: $99.21
0.8× median
99214Normal range

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

$2.5M

54K claims · 2.4%

Your Cost: $46.93/claim|Median: $53.41
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$2.0M

23K claims · 1.9%

Your Cost: $89.93/claim|Median: $85.66
1.0× median
H0015Normal range

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

$2.0M

24K claims · 1.9%

Your Cost: $81.95/claim|Median: $129.75
0.6× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$1.9M

23K claims · 1.8%

Your Cost: $83.65/claim|Median: $225.50
0.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.8M

20K claims · 1.7%

Your Cost: $90.53/claim|Median: $108.91
0.8× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$1.4M

1,938 claims · 1.4%

Your Cost: $748.00/claim|Median: $215.80
3.5× median
T2033Normal range

Residential care, NOS; per diem

$1.4M

5,094 claims · 1.3%

Your Cost: $269.50/claim|Median: $1,051.57
0.3× median
H0006Top 5%

Alcohol and/or drug services, case management

$985K

4,697 claims · 0.9%

Your Cost: $209.79/claim|Median: $43.10
4.9× median
H0023Top 25%

Behavioral health outreach service, per 15 minutes

$715K

2,554 claims · 0.7%

Your Cost: $280.03/claim|Median: $53.97
5.2× median
99212Normal range

Office/outpatient visit, low complexity

$590K

26K claims · 0.6%

Your Cost: $22.72/claim|Median: $25.06
0.9× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$506K

2,354 claims · 0.5%

Your Cost: $214.99/claim|Median: $76.05
2.8× median
G0155Normal range

Services of clinical social worker in home health, per 15 min

$446K

6,344 claims · 0.4%

Your Cost: $70.33/claim|Median: $7.04
10.0× median
H0046Normal range

Mental health services, not otherwise specified

$377K

4,417 claims · 0.4%

Your Cost: $85.38/claim|Median: $85.02
1.0× median
T2021Normal range

Day habilitation, waiver; per 15 min

$175K

1,999 claims · 0.2%

Your Cost: $87.49/claim|Median: $150.51
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$166K

22K claims · 0.2%

Your Cost: $7.42/claim|Median: $9.56
0.8× median
90853Normal range

Group psychotherapy

$128K

5,533 claims · 0.1%

Your Cost: $23.10/claim|Median: $25.02
0.9× median
90846Normal range

Family psychotherapy without patient, 50 min

$52K

772 claims · 0.0%

Your Cost: $66.98/claim|Median: $76.61
0.9× median
H2022Normal range

Community-based wrap-around services, per diem

$43K

258 claims · 0.0%

Your Cost: $167.46/claim|Median: $336.31
0.5× median
S9485Normal range

Crisis intervention mental health services, per diem

$43K

2,362 claims · 0.0%

Your Cost: $18.14/claim|Median: $501.33
0.0× median
T2022Normal range

Case management, per month

$29K

566 claims · 0.0%

Your Cost: $50.66/claim|Median: $202.77
0.2× median
H0033Normal range

Oral medication administration, direct observation

$15K

125 claims · 0.0%

Your Cost: $117.24/claim|Median: $31.37
3.7× median
T2023Normal range

Community transition, waiver; per service

$14K

87 claims · 0.0%

Your Cost: $166.45/claim|Median: $300.13
0.6× median
80305Normal range

$12K

1,259 claims · 0.0%

Your Cost: $9.90/claim|Median: $7.44
1.3× median
3078FNormal range

$12K

26K claims · 0.0%

Your Cost: $0.48/claim|Median: $0.08
6.0× median
G0378Normal range

Hospital observation service, per hour

$12K

81 claims · 0.0%

Your Cost: $145.47/claim|Median: $99.39
1.5× median
3074FNormal range

$8K

29K claims · 0.0%

Your Cost: $0.29/claim|Median: $0.11
2.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$7K

362 claims · 0.0%

Your Cost: $18.48/claim|Median: $32.55
0.6× median
3077FTop 25%

$4K

2,996 claims · 0.0%

Your Cost: $1.17/claim|Median: $0.12
9.7× median
3008FNormal range

$3K

32K claims · 0.0%

Your Cost: $0.11/claim|Median: $0.06
1.8× median
3079FNormal range

$3K

7,123 claims · 0.0%

Your Cost: $0.39/claim|Median: $0.12
3.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

310 claims · 0.0%

Your Cost: $8.68/claim|Median: $22.44
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$2K

43 claims · 0.0%

Your Cost: $50.13/claim|Median: $74.09
0.7× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$2K

135 claims · 0.0%

Your Cost: $13.41/claim|Median: $106.70
0.1× median
3075FNormal range

$1K

2,619 claims · 0.0%

Your Cost: $0.56/claim|Median: $0.15
3.8× median
3080FNormal range

$1K

2,901 claims · 0.0%

Your Cost: $0.47/claim|Median: $0.16
3.0× median
36415Normal range

Collection of venous blood by venipuncture

$901

490 claims · 0.0%

Your Cost: $1.84/claim|Median: $1.57
1.2× median
H0032Normal range

Mental health service plan development

$536

16 claims · 0.0%

Your Cost: $33.51/claim|Median: $80.64
0.4× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$494

20 claims · 0.0%

Your Cost: $24.72/claim|Median: $56.18
0.4× median
G9010Normal range

$177

111K claims · 0.0%

Your Cost: $0.00/claim|Median: $1,009.60
0.0× median
G9004Normal range

$177

82K claims · 0.0%

Your Cost: $0.00/claim|Median: $55.49
0.0× median
G9006Normal range

Coordination of long-term care services, per hour

$177

26K claims · 0.0%

Your Cost: $0.01/claim|Median: $204.93
0.0× median
G9007Normal range

$0

3,404 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44
0.0× median

Other Top Providers in Tennessee

View all →

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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