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COUNTY OF MERCED

Clinic/Center, Adult Mental Health·MERCED, CA·NPI: 1780705376Share

Compared to Clinic/Center, Adult Mental Health Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $93.3M is at the 50th percentile among 10 Clinic/Center, Adult Mental Health providers.

Active Billing Period:2018-012024-08(80 months)

Total Paid

$93.3M

$93,265,852

Total Claims

345K

Beneficiaries

135K

2.6 claims/patient

Avg Cost/Claim

$270

Monthly Spending Trend

Yearly Spending

2018
$8.3M
+8%
2019
$9.0M
+59%
2020
$14.3M
+11%
2021
$15.9M
-13%
2022
$13.9M
+35%
2023
$18.8M
-30%
2024
$13.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 27% of total spending.

H2015Top 25%

Comprehensive community support services, per 15 min

$24.9M

86K claims · 26.7%

Your Cost: $289.21/claim|Median: $96.24
3.0× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$21.3M

98K claims · 22.8%

Your Cost: $216.68/claim|Median: $91.63
2.4× median
T1017Top 10%

Targeted case management, per 15 min

$15.3M

51K claims · 16.5%

Your Cost: $301.14/claim|Median: $69.56
4.3× median
H2010Normal range

Comprehensive medication services, per 15 min

$12.9M

54K claims · 13.8%

Your Cost: $236.18/claim|Median: $62.69
3.8× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$5.4M

9,145 claims · 5.7%

Your Cost: $585.68/claim|Median: $215.80
2.7× median
90837Top 1%

Psychotherapy, 60 minutes

$2.8M

8,194 claims · 3.0%

Your Cost: $342.73/claim|Median: $85.66
4.0× median
99214Top 1%

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

$2.5M

3,048 claims · 2.7%

Your Cost: $813.02/claim|Median: $53.41
15.2× median
H0032Top 5%

Mental health service plan development

$2.0M

5,896 claims · 2.2%

Your Cost: $346.11/claim|Median: $80.64
4.3× median
99215Top 1%

Office/outpatient visit, high complexity

$1.2M

1,157 claims · 1.2%

Your Cost: $994.58/claim|Median: $74.09
13.4× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$1.1M

8,869 claims · 1.2%

Your Cost: $128.08/claim|Median: $72.96
1.8× median
S9484Top 5%

Crisis intervention mental health services, per hour

$847K

268 claims · 0.9%

Your Cost: $3,161.93/claim|Median: $249.51
12.7× median
H0034Normal range

Medication training and management, per 15 min

$676K

5,204 claims · 0.7%

Your Cost: $129.91/claim|Median: $56.90
2.3× median
90834Top 5%

Psychotherapy, 45 minutes

$469K

1,864 claims · 0.5%

Your Cost: $251.51/claim|Median: $63.65
4.0× median
99212Top 1%

Office/outpatient visit, low complexity

$415K

1,128 claims · 0.4%

Your Cost: $367.81/claim|Median: $25.06
14.7× median
H0018Top 5%

Behavioral health; short-term residential, per diem

$363K

83 claims · 0.4%

Your Cost: $4,377.59/claim|Median: $467.51
9.4× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$354K

1,335 claims · 0.4%

Your Cost: $265.31/claim|Median: $55.04
4.8× median
90832Top 5%

Psychotherapy, 30 minutes

$199K

1,227 claims · 0.2%

Your Cost: $162.58/claim|Median: $41.28
3.9× median
99443Top 1%

Telephone E/M by physician, 21-30 min

$167K

251 claims · 0.2%

Your Cost: $666.00/claim|Median: $32.55
20.5× median
90853Normal range

Group psychotherapy

$139K

6,199 claims · 0.1%

Your Cost: $22.46/claim|Median: $25.02
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$127K

1,173 claims · 0.1%

Your Cost: $108.29/claim|Median: $99.21
1.1× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$79K

123 claims · 0.1%

Your Cost: $645.51/claim|Median: $150.51
4.3× median
T2024Top 10%

Supported employment, waiver, per diem

$54K

72 claims · 0.1%

Your Cost: $747.42/claim|Median: $259.38
2.9× median
99213Top 1%

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

$10K

15 claims · 0.0%

Your Cost: $666.60/claim|Median: $37.81
17.6× median
90839Top 5%

Psychotherapy for crisis, first 60 min

$9K

27 claims · 0.0%

Your Cost: $337.10/claim|Median: $83.98
4.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$0

265 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35