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CITIZEN ADVOCATES, INC

Clinic/Center, Rehabilitation, Substance Use Disorder·MALONE, NY·NPI: 1780619064Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $65.9M is at the 75th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

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

Total Paid

$65.9M

$65,864,230

Total Claims

484K

Beneficiaries

187K

2.6 claims/patient

Avg Cost/Claim

$136

Monthly Spending Trend

Yearly Spending

2018
$5.5M
+13%
2019
$6.2M
+36%
2020
$8.5M
+17%
2021
$9.9M
+7%
2022
$10.6M
+15%
2023
$12.2M
+5%
2024
$12.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 24% of total spending.

T1040Normal range

Medicaid certified CCBHC services

$15.5M

136K claims · 23.5%

Your Cost: $114.08/claim|Median: $130.29
0.9× median
99213Top 5%

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

$5.9M

47K claims · 8.9%

Your Cost: $125.20/claim|Median: $37.81
3.3× median
T2034Top 10%

Crisis intervention, per 15 min

$5.8M

6,485 claims · 8.8%

Your Cost: $893.56/claim|Median: $254.45
3.5× median
90834Top 10%

Psychotherapy, 45 minutes

$5.7M

46K claims · 8.7%

Your Cost: $123.69/claim|Median: $63.65
1.9× median
99211Top 5%

Office/outpatient visit, minimal complexity

$5.6M

55K claims · 8.5%

Your Cost: $101.81/claim|Median: $12.93
7.9× median
90837Top 5%

Psychotherapy, 60 minutes

$5.0M

29K claims · 7.6%

Your Cost: $176.00/claim|Median: $85.66
2.1× median
90832Top 5%

Psychotherapy, 30 minutes

$4.3M

28K claims · 6.5%

Your Cost: $153.78/claim|Median: $41.28
3.7× median
90853Top 5%

Group psychotherapy

$2.9M

23K claims · 4.4%

Your Cost: $125.87/claim|Median: $25.02
5.0× median
99214Top 5%

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

$2.7M

21K claims · 4.1%

Your Cost: $127.34/claim|Median: $53.41
2.4× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$2.6M

14K claims · 4.0%

Your Cost: $192.31/claim|Median: $91.63
2.1× median
T1016Top 25%

Case management, each 15 min

$2.4M

22K claims · 3.6%

Your Cost: $108.70/claim|Median: $49.62
2.2× median
90791Top 25%

Psychiatric diagnostic evaluation

$1.7M

12K claims · 2.5%

Your Cost: $137.53/claim|Median: $99.21
1.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.5M

13K claims · 2.2%

Your Cost: $110.23/claim|Median: $215.80
0.5× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$1.1M

7,374 claims · 1.6%

Your Cost: $144.03/claim|Median: $55.04
2.6× median
99401Top 1%

$810K

7,623 claims · 1.2%

Your Cost: $106.29/claim|Median: $16.53
6.4× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$795K

4,693 claims · 1.2%

Your Cost: $169.30/claim|Median: $9.56
17.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$568K

3,810 claims · 0.9%

Your Cost: $148.98/claim|Median: $108.91
1.4× median
H2010Normal range

Comprehensive medication services, per 15 min

$397K

3,987 claims · 0.6%

Your Cost: $99.66/claim|Median: $62.69
1.6× median
S9485Top 25%

Crisis intervention mental health services, per diem

$240K

249 claims · 0.4%

Your Cost: $961.96/claim|Median: $501.33
1.9× median
90847Top 25%

Family psychotherapy with patient, 50 min

$121K

1,003 claims · 0.2%

Your Cost: $120.67/claim|Median: $77.33
1.6× median
99212Top 5%

Office/outpatient visit, low complexity

$117K

1,121 claims · 0.2%

Your Cost: $104.25/claim|Median: $25.06
4.2× median
99051Top 1%

$88K

1,480 claims · 0.1%

Your Cost: $59.39/claim|Median: $7.89
7.5× median
S9484Normal range

Crisis intervention mental health services, per hour

$75K

203 claims · 0.1%

Your Cost: $368.29/claim|Median: $249.51
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$25K

295 claims · 0.0%

Your Cost: $83.99/claim|Median: $74.09
1.1× median
99203Top 10%

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

$22K

207 claims · 0.0%

Your Cost: $106.37/claim|Median: $57.85
1.8× median
90839Top 10%

Psychotherapy for crisis, first 60 min

$21K

119 claims · 0.0%

Your Cost: $175.25/claim|Median: $83.98
2.1× median
99204Normal range

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

$3K

30 claims · 0.0%

Your Cost: $94.28/claim|Median: $84.03
1.1× median

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