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GUIDANCE CENTER OF LEA COUNTY, INC

Community/Behavioral Health·HOBBS, NM·NPI: 1740211333Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.2M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$38.2M

$38,243,951

Total Claims

262K

Beneficiaries

180K

1.5 claims/patient

Avg Cost/Claim

$146

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+61%
2019
$4.7M
+34%
2020
$6.3M
+6%
2021
$6.7M
+3%
2022
$6.9M
-17%
2023
$5.7M
-12%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (G9001) accounts for 39% of total spending.

G9001Top 25%

$14.8M

53K claims · 38.8%

Your Cost: $280.69/claim|Median: $53.98
5.2× median
G9003Top 5%

$9.8M

4,951 claims · 25.7%

Your Cost: $1,983.53/claim|Median: $46.36
42.8× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$5.0M

26K claims · 13.1%

Your Cost: $192.47/claim|Median: $91.63
2.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.6M

15K claims · 4.1%

Your Cost: $102.37/claim|Median: $96.24
1.1× median
H2010Normal range

Comprehensive medication services, per 15 min

$1.2M

20K claims · 3.2%

Your Cost: $62.44/claim|Median: $62.69
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$1.2M

11K claims · 3.0%

Your Cost: $101.27/claim|Median: $85.66
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$783K

15K claims · 2.0%

Your Cost: $53.21/claim|Median: $41.28
1.3× median
H0015Normal range

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

$708K

6,229 claims · 1.9%

Your Cost: $113.67/claim|Median: $129.75
0.9× median
T1026Normal range

Waiver services, NOS, per diem

$705K

6,439 claims · 1.8%

Your Cost: $109.43/claim|Median: $146.05
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$615K

15K claims · 1.6%

Your Cost: $40.29/claim|Median: $55.04
0.7× median
90863Normal range

$290K

7,277 claims · 0.8%

Your Cost: $39.91/claim|Median: $29.71
1.3× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$274K

1,231 claims · 0.7%

Your Cost: $222.88/claim|Median: $167.38
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$254K

3,375 claims · 0.7%

Your Cost: $75.16/claim|Median: $63.65
1.2× median
H0031Top 25%

Mental health assessment by non-physician

$200K

1,290 claims · 0.5%

Your Cost: $155.19/claim|Median: $96.18
1.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$149K

1,018 claims · 0.4%

Your Cost: $146.20/claim|Median: $99.21
1.5× median
99215Top 5%

Office/outpatient visit, high complexity

$149K

844 claims · 0.4%

Your Cost: $175.98/claim|Median: $74.09
2.4× median
H2012Normal range

Behavioral health day treatment, per hour

$89K

1,115 claims · 0.2%

Your Cost: $80.21/claim|Median: $137.86
0.6× median
H2000Top 5%

Comprehensive multidisciplinary evaluation

$79K

152 claims · 0.2%

Your Cost: $521.31/claim|Median: $114.71
4.5× median
Q3014Top 25%

Telehealth originating site facility fee

$77K

3,222 claims · 0.2%

Your Cost: $23.98/claim|Median: $15.37
1.6× median
T1007Top 25%

Alcohol/drug services, treatment plan review

$47K

361 claims · 0.1%

Your Cost: $129.80/claim|Median: $64.10
2.0× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$45K

194 claims · 0.1%

Your Cost: $230.49/claim|Median: $111.09
2.1× median
90833Top 10%

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

$32K

444 claims · 0.1%

Your Cost: $72.78/claim|Median: $38.83
1.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$25K

287 claims · 0.1%

Your Cost: $86.79/claim|Median: $77.33
1.1× median
99214Top 5%

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

$25K

204 claims · 0.1%

Your Cost: $121.78/claim|Median: $53.41
2.3× median
90853Normal range

Group psychotherapy

$16K

682 claims · 0.0%

Your Cost: $23.98/claim|Median: $25.02
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$16K

245 claims · 0.0%

Your Cost: $65.65/claim|Median: $76.61
0.9× median
90839Top 25%

Psychotherapy for crisis, first 60 min

$16K

131 claims · 0.0%

Your Cost: $120.75/claim|Median: $83.98
1.4× median
T1016Normal range

Case management, each 15 min

$14K

52K claims · 0.0%

Your Cost: $0.27/claim|Median: $49.62
0.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$9K

91 claims · 0.0%

Your Cost: $95.51/claim|Median: $215.80
0.4× median
90836Top 5%

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

$7K

42 claims · 0.0%

Your Cost: $167.74/claim|Median: $56.18
3.0× median
97157Top 25%

$5K

44 claims · 0.0%

Your Cost: $119.38/claim|Median: $43.58
2.7× median
90889Normal range

$2K

45 claims · 0.0%

Your Cost: $34.05/claim|Median: $56.63
0.6× median
97156Normal range

$1K

18 claims · 0.0%

Your Cost: $76.98/claim|Median: $88.65
0.9× median
S0280Normal range

Medical home program, comprehensive care management

$0

15K claims · 0.0%

Your Cost: $0.00/claim|Median: $48.38
0.0× median