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EPIC HEALTH PARTNERS, LLC

Exclusive Provider Organization·DANVILLE, VA·NPI: 1760734503Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$45.3M

$45,345,077

Total Claims

254K

Beneficiaries

46K

5.5 claims/patient

Avg Cost/Claim

$179

Monthly Spending Trend

Yearly Spending

2018
$4.7M
+21%
2019
$5.7M
+9%
2020
$6.2M
+17%
2021
$7.3M
+49%
2022
$10.9M
-39%
2023
$6.6M
-40%
2024
$4.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (H0046 (Mental health services, not otherwise specified)) accounts for 55% of total spending.

H0046Normal range

Mental health services, not otherwise specified

$25.0M

160K claims · 55.1%

Your Cost: $156.41/claim|Median: $85.02
1.8× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$5.5M

14K claims · 12.0%

Your Cost: $378.70/claim|Median: $84.12
4.5× median
S9482Normal range

Family stabilization services, per 15 minutes

$4.5M

7,154 claims · 9.9%

Your Cost: $627.97/claim|Median: $625.59
1.0× median
H2012Normal range

Behavioral health day treatment, per hour

$4.1M

27K claims · 9.0%

Your Cost: $148.88/claim|Median: $137.86
1.1× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$3.0M

2,433 claims · 6.5%

Your Cost: $1,220.70/claim|Median: $215.80
5.7× median
90837Normal range

Psychotherapy, 60 minutes

$1.2M

12K claims · 2.5%

Your Cost: $96.39/claim|Median: $85.66
1.1× median
H0015Top 25%

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

$481K

2,232 claims · 1.1%

Your Cost: $215.57/claim|Median: $129.75
1.7× median
S0201Normal range

Partial hospitalization services, per diem

$452K

1,066 claims · 1.0%

Your Cost: $424.00/claim|Median: $445.16
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$380K

3,404 claims · 0.8%

Your Cost: $111.55/claim|Median: $99.21
1.1× median
99214Normal range

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

$349K

6,098 claims · 0.8%

Your Cost: $57.29/claim|Median: $53.41
1.1× median
99213Normal range

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

$113K

2,745 claims · 0.2%

Your Cost: $41.01/claim|Median: $37.81
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$111K

2,546 claims · 0.2%

Your Cost: $43.72/claim|Median: $41.28
1.1× median
Q3014Normal range

Telehealth originating site facility fee

$95K

7,304 claims · 0.2%

Your Cost: $12.99/claim|Median: $15.37
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$63K

494 claims · 0.1%

Your Cost: $126.71/claim|Median: $108.91
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$32K

532 claims · 0.1%

Your Cost: $60.57/claim|Median: $63.65
1.0× median
H0032Normal range

Mental health service plan development

$28K

558 claims · 0.1%

Your Cost: $50.57/claim|Median: $80.64
0.6× median
80305Top 25%

$26K

2,594 claims · 0.1%

Your Cost: $10.16/claim|Median: $7.44
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$16K

176 claims · 0.0%

Your Cost: $88.68/claim|Median: $111.09
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$14K

171 claims · 0.0%

Your Cost: $81.39/claim|Median: $74.09
1.1× median
90839Normal range

Psychotherapy for crisis, first 60 min

$14K

143 claims · 0.0%

Your Cost: $96.65/claim|Median: $83.98
1.2× median
H0006Top 10%

Alcohol and/or drug services, case management

$9K

54 claims · 0.0%

Your Cost: $166.50/claim|Median: $43.10
3.9× median
99204Normal range

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

$6K

118 claims · 0.0%

Your Cost: $50.66/claim|Median: $84.03
0.6× median
90853Normal range

Group psychotherapy

$5K

228 claims · 0.0%

Your Cost: $21.35/claim|Median: $25.02
0.9× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$935

16 claims · 0.0%

Your Cost: $58.45/claim|Median: $38.83
1.5× median
H0031Normal range

Mental health assessment by non-physician

$600

12 claims · 0.0%

Your Cost: $50.00/claim|Median: $96.18
0.5× median
99354Normal range

$387

23 claims · 0.0%

Your Cost: $16.82/claim|Median: $54.96
0.3× median

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