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SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC.

Community/Behavioral Health·PRINCETON, WV·NPI: 1740234673Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.3M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$44.3M

$44,253,735

Total Claims

571K

Beneficiaries

193K

3.0 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+12%
2019
$3.3M
+66%
2020
$5.5M
+24%
2021
$6.8M
+40%
2022
$9.4M
-4%
2023
$9.1M
-19%
2024
$7.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 19% of total spending.

H2036Normal range

Alcohol/drug treatment, per hour

$8.6M

45K claims · 19.5%

Your Cost: $193.47/claim|Median: $253.79
0.8× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$5.7M

71K claims · 12.8%

Your Cost: $79.63/claim|Median: $266.41
0.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$5.4M

123K claims · 12.3%

Your Cost: $44.18/claim|Median: $96.24
0.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$5.4M

71K claims · 12.1%

Your Cost: $76.06/claim|Median: $74.63
1.0× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$4.2M

9,705 claims · 9.4%

Your Cost: $429.31/claim|Median: $76.05
5.6× median
H0031Top 25%

Mental health assessment by non-physician

$2.9M

18K claims · 6.6%

Your Cost: $159.26/claim|Median: $96.18
1.7× median
99213Normal range

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

$2.7M

54K claims · 6.0%

Your Cost: $49.41/claim|Median: $37.81
1.3× median
T1017Normal range

Targeted case management, per 15 min

$2.6M

64K claims · 6.0%

Your Cost: $40.91/claim|Median: $69.56
0.6× median
99214Normal range

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

$2.6M

36K claims · 5.8%

Your Cost: $70.72/claim|Median: $53.41
1.3× median
T1040Top 25%

Medicaid certified CCBHC services

$1.5M

6,274 claims · 3.4%

Your Cost: $237.62/claim|Median: $130.29
1.8× median
Q3014Top 25%

Telehealth originating site facility fee

$767K

31K claims · 1.7%

Your Cost: $24.65/claim|Median: $15.37
1.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$723K

15K claims · 1.6%

Your Cost: $48.51/claim|Median: $55.04
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$557K

4,609 claims · 1.3%

Your Cost: $120.78/claim|Median: $108.91
1.1× median
G9008Normal range

Coordination of long-term care services, per month

$240K

6,713 claims · 0.5%

Your Cost: $35.78/claim|Median: $66.78
0.5× median
H0037Top 25%

Community psychiatric supportive treatment program, per diem

$163K

310 claims · 0.4%

Your Cost: $524.93/claim|Median: $225.50
2.3× median
H0032Normal range

Mental health service plan development

$138K

9,993 claims · 0.3%

Your Cost: $13.79/claim|Median: $80.64
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$105K

3,498 claims · 0.2%

Your Cost: $30.05/claim|Median: $25.06
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$8K

805 claims · 0.0%

Your Cost: $10.05/claim|Median: $9.56
1.1× median
A0120Normal range

Non-emergency mini-bus transport

$6K

828 claims · 0.0%

Your Cost: $7.24/claim|Median: $16.09
0.4× median
99204Normal range

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

$5K

68 claims · 0.0%

Your Cost: $73.38/claim|Median: $84.03
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$1K

15 claims · 0.0%

Your Cost: $90.56/claim|Median: $74.09
1.2× median