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CUMMINS BEHAVIORAL HEALTH SYSTEMS, INCORPORATED

Clinic/Center, Mental Health (Including Community Mental Health Center)·AVON, IN·NPI: 1740232115Share

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 $108.5M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$108.5M

$108,473,344

Total Claims

1.5M

Beneficiaries

687K

2.1 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$17.6M
-5%
2019
$16.7M
-12%
2020
$14.7M
+6%
2021
$15.5M
+4%
2022
$16.1M
+5%
2023
$16.9M
-36%
2024
$10.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (H2014 (Skills training & development, per 15 min)) accounts for 60% of total spending.

H2014Normal range

Skills training & development, per 15 min

$65.2M

555K claims · 60.1%

Your Cost: $117.55/claim|Median: $83.88
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$15.2M

321K claims · 14.0%

Your Cost: $47.35/claim|Median: $63.65
0.7× median
T1016Normal range

Case management, each 15 min

$8.5M

303K claims · 7.9%

Your Cost: $28.12/claim|Median: $49.62
0.6× median
H0015Normal range

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

$3.6M

41K claims · 3.3%

Your Cost: $89.36/claim|Median: $129.75
0.7× median
T2022Top 5%

Case management, per month

$3.2M

3,690 claims · 2.9%

Your Cost: $863.48/claim|Median: $202.77
4.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.1M

24K claims · 2.0%

Your Cost: $90.36/claim|Median: $74.63
1.2× median
99214Normal range

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

$1.8M

32K claims · 1.7%

Your Cost: $56.17/claim|Median: $53.41
1.1× median
H0031Normal range

Mental health assessment by non-physician

$1.8M

25K claims · 1.6%

Your Cost: $72.50/claim|Median: $96.18
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$1.6M

22K claims · 1.4%

Your Cost: $70.90/claim|Median: $99.21
0.7× median
90847Normal range

Family psychotherapy with patient, 50 min

$1.2M

21K claims · 1.1%

Your Cost: $57.16/claim|Median: $77.33
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$890K

26K claims · 0.8%

Your Cost: $34.32/claim|Median: $41.28
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$623K

8,536 claims · 0.6%

Your Cost: $73.03/claim|Median: $85.66
0.9× median
90846Normal range

Family psychotherapy without patient, 50 min

$549K

9,651 claims · 0.5%

Your Cost: $56.85/claim|Median: $76.61
0.7× median
99213Normal range

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

$371K

9,885 claims · 0.3%

Your Cost: $37.52/claim|Median: $37.81
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$328K

5,684 claims · 0.3%

Your Cost: $57.71/claim|Median: $55.04
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$314K

13K claims · 0.3%

Your Cost: $23.46/claim|Median: $47.35
0.5× median
80305Normal range

$294K

30K claims · 0.3%

Your Cost: $9.69/claim|Median: $7.44
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$241K

2,766 claims · 0.2%

Your Cost: $87.01/claim|Median: $108.91
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$185K

1,390 claims · 0.2%

Your Cost: $132.86/claim|Median: $111.09
1.2× median
H0034Normal range

Medication training and management, per 15 min

$166K

6,431 claims · 0.2%

Your Cost: $25.83/claim|Median: $56.90
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$106K

1,234 claims · 0.1%

Your Cost: $85.65/claim|Median: $74.09
1.2× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$87K

977 claims · 0.1%

Your Cost: $88.81/claim|Median: $84.03
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$37K

4,159 claims · 0.0%

Your Cost: $8.95/claim|Median: $9.56
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$22K

870 claims · 0.0%

Your Cost: $24.79/claim|Median: $25.06
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$11K

5,091 claims · 0.0%

Your Cost: $2.15/claim|Median: $1.57
1.4× median
99000Normal range

$5K

2,875 claims · 0.0%

Your Cost: $1.71/claim|Median: $2.30
0.7× median
T2003Normal range

Non-emergency transport; encounter/trip

$4K

413 claims · 0.0%

Your Cost: $10.08/claim|Median: $21.70
0.5× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$2K

46 claims · 0.0%

Your Cost: $51.98/claim|Median: $94.63
0.5× median
T2004Normal range

Non-emergency transportation, commercial carrier, encounter trip

$1K

335 claims · 0.0%

Your Cost: $3.41/claim|Median: $8.80
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$1K

163 claims · 0.0%

Your Cost: $6.87/claim|Median: $12.93
0.5× median
T2011Normal range

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $122.73

$0

39 claims · 0.0%

$0

211 claims · 0.0%

90899Normal range

Unlisted psychiatric service/procedure

$0

69 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.72