Compared to Community/Behavioral Health Peers
Total spending distribution among 218 providers in this specialty
This provider's total spending of $737K is at the below 25th percentile among 218 Community/Behavioral Health providers.
Total Paid
$737K
$736,921
Total Claims
6K
Beneficiaries
1K
4.7 claims/patient
Avg Cost/Claim
$124
🔍 Analysis
Provider Overview
Emerald Horizon Services is a Community/Behavioral Health provider based in North Las Vegas, NV. From 2018-01 through 2019-10, this provider received $737K in Medicaid payments across 6K claims serving 1K beneficiaries, billing 10 distinct procedure codes.
Key Findings
- 📊Bills 2.5× the national median for H0034 (H0034), at $141 per claim vs. the median of $57, placing them above the 75th percentile.
- 📊Billing stopped in 2019-10, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 10 distinct procedure codes. The top code (H0034 (Medication training and management, per 15 min)) accounts for 58% of total spending.
$424K
3K claims
$141.43
$56.90
Medication training and management, per 15 min
$424K
3K claims · 57.5%
$98K
239 claims
$408.65
$215.80
Crisis intervention service, per 15 minutes
$98K
239 claims · 13.3%
$78K
901 claims · 10.6%
Group psychotherapy
$76K
965 claims · 10.4%
Psychotherapy, 60 minutes
$46K
490 claims · 6.2%
$11K
84 claims
$126.07
$96.18
Mental health assessment by non-physician
$11K
84 claims · 1.4%
Psychiatric diagnostic evaluation
$2K
27 claims · 0.3%
$2K
19 claims
$82.40
$77.33
Family psychotherapy with patient, 50 min
$2K
19 claims · 0.2%
Behavioral health screening
$862
55 claims · 0.1%
$0
189 claims · 0.0%
Other Top Providers in Nevada
View all →Similar Providers
Other top providers in Community/Behavioral Health