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Mountain Comprehensive Care Center, Inc.

Counselor, Mental Health·Prestonsburg, KY·NPI: 1760491674Share

Compared to Counselor, Mental Health Peers

Total spending distribution among 27 providers in this specialty

P25MedianP75P90

This provider's total spending of $243.1M is at the 99th percentile among 27 Counselor, Mental Health providers.

Above 99th percentile for this specialty — higher spending than 26 of 27 peers

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

Total Paid

$243.1M

$243,114,592

Total Claims

2.6M

Beneficiaries

1.4M

1.9 claims/patient

Avg Cost/Claim

$93

#343 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Mountain Comprehensive Care Center, Inc. is a Counselor, Mental Health provider based in Prestonsburg, KY. From the 2018–2024 period, this provider received $243.1M in Medicaid payments across 2.6M claims.

Why This Matters

This provider received $243.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 30,389 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 54% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$27.9M
+8%
2019
$30.1M
-4%
2020
$28.9M
+19%
2021
$34.4M
+9%
2022
$37.5M
+10%
2023
$41.4M
+4%
2024
$42.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 19% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$45.3M

608K claims · 18.6%

Your Cost: $74.45/claim|Median: $85.66
0.9× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$43.1M

223K claims · 17.7%

Your Cost: $192.90/claim|Median: $84.12
2.3× median
T2023Normal range

Community transition, waiver; per service

$33.8M

107K claims · 13.9%

Your Cost: $315.18/claim|Median: $300.13
1.1× median
90887Top 25%

Interpretation/explanation of results

$21.9M

293K claims · 9.0%

Your Cost: $74.76/claim|Median: $47.55
1.6× median
H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$16.4M

68K claims · 6.8%

Your Cost: $242.58/claim|Median: $317.54
0.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$11.2M

226K claims · 4.6%

Your Cost: $49.54/claim|Median: $55.04
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$10.9M

286K claims · 4.5%

Your Cost: $38.17/claim|Median: $41.28
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$10.4M

147K claims · 4.3%

Your Cost: $70.45/claim|Median: $96.24
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$7.1M

126K claims · 2.9%

Your Cost: $56.66/claim|Median: $63.65
0.9× median
H0015Normal range

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

$6.5M

57K claims · 2.7%

Your Cost: $115.06/claim|Median: $129.75
0.9× median
H0018Normal range

Behavioral health; short-term residential, per diem

$5.5M

29K claims · 2.3%

Your Cost: $185.97/claim|Median: $467.51
0.4× median
H0031Normal range

Mental health assessment by non-physician

$4.5M

59K claims · 1.9%

Your Cost: $76.10/claim|Median: $96.18
0.8× median
H0002Normal range

Behavioral health screening

$4.3M

57K claims · 1.8%

Your Cost: $76.62/claim|Median: $38.77
2.0× median
99214Normal range

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

$3.8M

73K claims · 1.6%

Your Cost: $51.83/claim|Median: $53.41
1.0× median
H0032Normal range

Mental health service plan development

$3.7M

48K claims · 1.5%

Your Cost: $77.28/claim|Median: $80.64
1.0× median
S9485Normal range

Crisis intervention mental health services, per diem

$3.5M

11K claims · 1.4%

Your Cost: $317.56/claim|Median: $501.33
0.6× median
H2021Normal range

Community-based wrap-around services, per 15 min

$1.9M

16K claims · 0.8%

Your Cost: $112.79/claim|Median: $169.11
0.7× median
99213Normal range

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

$1.8M

51K claims · 0.7%

Your Cost: $34.72/claim|Median: $37.81
0.9× median
99354Normal range

$1.7M

42K claims · 0.7%

Your Cost: $40.62/claim|Median: $54.96
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.4M

11K claims · 0.6%

Your Cost: $125.48/claim|Median: $108.91
1.2× median
H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$897K

4,201 claims · 0.4%

Your Cost: $213.46/claim|Median: $164.03
1.3× median
99355Normal range

$697K

9,505 claims · 0.3%

Your Cost: $73.29/claim|Median: $55.81
1.3× median
90853Normal range

Group psychotherapy

$623K

41K claims · 0.3%

Your Cost: $15.28/claim|Median: $25.02
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$462K

7,580 claims · 0.2%

Your Cost: $60.97/claim|Median: $74.63
0.8× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$456K

5,987 claims · 0.2%

Your Cost: $76.25/claim|Median: $32.55
2.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$282K

2,556 claims · 0.1%

Your Cost: $110.21/claim|Median: $215.80
0.5× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$256K

4,539 claims · 0.1%

Your Cost: $56.33/claim|Median: $22.44
2.5× median
H0001Normal range

Alcohol and/or drug assessment

$222K

2,841 claims · 0.1%

Your Cost: $78.10/claim|Median: $94.22
0.8× median
T1007Normal range

Alcohol/drug services, treatment plan review

$199K

2,494 claims · 0.1%

Your Cost: $79.77/claim|Median: $64.10
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$131K

1,705 claims · 0.1%

Your Cost: $77.02/claim|Median: $77.33
1.0× median

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