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PRIDE IN NORTH CAROLINA, LLC

Community/Behavioral Health·GREENVILLE, NC·NPI: 1760420186Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $98.2M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$98.2M

$98,154,581

Total Claims

651K

Beneficiaries

178K

3.7 claims/patient

Avg Cost/Claim

$151

Monthly Spending Trend

Yearly Spending

2018
$9.5M
-7%
2019
$8.9M
+29%
2020
$11.5M
+16%
2021
$13.3M
+16%
2022
$15.5M
+12%
2023
$17.3M
+28%
2024
$22.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 64% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$63.1M

247K claims · 64.3%

Your Cost: $256.00/claim|Median: $336.31
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$11.8M

144K claims · 12.0%

Your Cost: $81.83/claim|Median: $85.66
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$6.9M

109K claims · 7.0%

Your Cost: $63.02/claim|Median: $91.63
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$6.9M

40K claims · 7.0%

Your Cost: $170.39/claim|Median: $96.24
1.8× median
99214Top 25%

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

$2.9M

38K claims · 2.9%

Your Cost: $76.24/claim|Median: $53.41
1.4× median
H0032Top 1%

Mental health service plan development

$1.5M

3,016 claims · 1.5%

Your Cost: $485.15/claim|Median: $80.64
6.0× median
T2021Normal range

Day habilitation, waiver; per 15 min

$1.3M

12K claims · 1.4%

Your Cost: $111.76/claim|Median: $150.51
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$730K

13K claims · 0.7%

Your Cost: $54.45/claim|Median: $63.65
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$641K

16K claims · 0.7%

Your Cost: $40.99/claim|Median: $41.28
1.0× median
H2012Normal range

Behavioral health day treatment, per hour

$614K

4,183 claims · 0.6%

Your Cost: $146.76/claim|Median: $137.86
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$560K

4,155 claims · 0.6%

Your Cost: $134.72/claim|Median: $111.09
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$492K

4,509 claims · 0.5%

Your Cost: $109.07/claim|Median: $99.21
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$196K

2,816 claims · 0.2%

Your Cost: $69.53/claim|Median: $77.33
0.9× median
99213Normal range

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

$195K

3,830 claims · 0.2%

Your Cost: $50.79/claim|Median: $37.81
1.3× median
99204Top 25%

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

$182K

1,601 claims · 0.2%

Your Cost: $113.58/claim|Median: $84.03
1.4× median
Q3014Normal range

Telehealth originating site facility fee

$85K

4,110 claims · 0.1%

Your Cost: $20.64/claim|Median: $15.37
1.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$80K

1,866 claims · 0.1%

Your Cost: $43.01/claim|Median: $55.04
0.8× median
T1017Normal range

Targeted case management, per 15 min

$31K

910 claims · 0.0%

Your Cost: $33.82/claim|Median: $69.56
0.5× median
99215Top 25%

Office/outpatient visit, high complexity

$22K

190 claims · 0.0%

Your Cost: $113.68/claim|Median: $74.09
1.5× median
99443Normal range

Telephone E/M by physician, 21-30 min

$6K

118 claims · 0.0%

Your Cost: $50.60/claim|Median: $32.55
1.6× median
98968Normal range

$4K

156 claims · 0.0%

Your Cost: $25.69/claim|Median: $28.39
0.9× median
99203Normal range

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

$3K

51 claims · 0.0%

Your Cost: $68.62/claim|Median: $57.85
1.2× median
98966Top 25%

$1K

113 claims · 0.0%

Your Cost: $11.18/claim|Median: $6.84
1.6× median
98967Normal range

$990

40 claims · 0.0%

Your Cost: $24.75/claim|Median: $18.97
1.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$474

17 claims · 0.0%

Your Cost: $27.85/claim|Median: $22.44
1.2× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$4

430 claims · 0.0%

Your Cost: $0.01/claim|Median: $76.05
0.0× median

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City & County of San Francisco

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