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RIVERSIDE COMMUNITY CARE, INC.

Community/Behavioral Health·NORWOOD, MA·NPI: 1780791467Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $108.1M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$108.1M

$108,130,006

Total Claims

1.5M

Beneficiaries

557K

2.8 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$15.6M
-17%
2019
$12.9M
+0%
2020
$12.9M
+1%
2021
$13.1M
+17%
2022
$15.4M
+23%
2023
$19.0M
+1%
2024
$19.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 18% of total spending.

90834Normal range

Psychotherapy, 45 minutes

$19.5M

266K claims · 18.1%

Your Cost: $73.56/claim|Median: $63.65
1.2× median
S9485Normal range

Crisis intervention mental health services, per diem

$18.6M

31K claims · 17.2%

Your Cost: $600.15/claim|Median: $501.33
1.2× median
T1040Normal range

Medicaid certified CCBHC services

$16.0M

75K claims · 14.8%

Your Cost: $213.64/claim|Median: $130.29
1.6× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$13.2M

251K claims · 12.2%

Your Cost: $52.68/claim|Median: $53.97
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$9.7M

79K claims · 8.9%

Your Cost: $122.06/claim|Median: $84.12
1.5× median
H2011Normal range

Crisis intervention service, per 15 minutes

$6.7M

49K claims · 6.2%

Your Cost: $137.01/claim|Median: $215.80
0.6× median
99214Normal range

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

$3.8M

66K claims · 3.5%

Your Cost: $57.52/claim|Median: $53.41
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$3.7M

38K claims · 3.4%

Your Cost: $97.65/claim|Median: $85.66
1.1× median
H2016Normal range

Comprehensive community support services, per 15 min

$3.1M

160K claims · 2.8%

Your Cost: $19.18/claim|Median: $321.53
0.1× median
H2012Normal range

Behavioral health day treatment, per hour

$2.0M

28K claims · 1.9%

Your Cost: $72.07/claim|Median: $137.86
0.5× median
T1027Top 25%

Family training and counseling, per 15 minutes

$2.0M

20K claims · 1.8%

Your Cost: $97.65/claim|Median: $53.00
1.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.9M

22K claims · 1.8%

Your Cost: $88.35/claim|Median: $96.24
0.9× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$1.2M

24K claims · 1.1%

Your Cost: $51.60/claim|Median: $266.41
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$982K

35K claims · 0.9%

Your Cost: $27.89/claim|Median: $41.28
0.7× median
99213Normal range

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

$949K

26K claims · 0.9%

Your Cost: $36.86/claim|Median: $37.81
1.0× median
T1017Normal range

Targeted case management, per 15 min

$748K

7,658 claims · 0.7%

Your Cost: $97.72/claim|Median: $69.56
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$688K

6,428 claims · 0.6%

Your Cost: $106.99/claim|Median: $99.21
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$571K

7,046 claims · 0.5%

Your Cost: $81.05/claim|Median: $55.04
1.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$488K

6,107 claims · 0.5%

Your Cost: $79.96/claim|Median: $77.33
1.0× median
H0046Normal range

Mental health services, not otherwise specified

$409K

13K claims · 0.4%

Your Cost: $30.81/claim|Median: $85.02
0.4× median
90887Normal range

Interpretation/explanation of results

$394K

8,674 claims · 0.4%

Your Cost: $45.38/claim|Median: $47.55
1.0× median
90882Normal range

Environmental intervention

$382K

7,713 claims · 0.4%

Your Cost: $49.55/claim|Median: $45.05
1.1× median
90853Normal range

Group psychotherapy

$364K

15K claims · 0.3%

Your Cost: $24.43/claim|Median: $25.02
1.0× median
90833Normal range

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

$155K

4,912 claims · 0.1%

Your Cost: $31.60/claim|Median: $38.83
0.8× median
T1024Top 25%

Evaluation & treatment, integrated specialty team

$129K

489 claims · 0.1%

Your Cost: $263.27/claim|Median: $119.08
2.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$108K

860 claims · 0.1%

Your Cost: $125.97/claim|Median: $111.09
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$48K

1,530 claims · 0.0%

Your Cost: $31.68/claim|Median: $74.09
0.4× median
90785Normal range

$32K

14K claims · 0.0%

Your Cost: $2.23/claim|Median: $6.43
0.3× median
99204Top 25%

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

$18K

154 claims · 0.0%

Your Cost: $117.42/claim|Median: $84.03
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$15K

202 claims · 0.0%

Your Cost: $74.59/claim|Median: $108.91
0.7× median
90846Normal range

Family psychotherapy without patient, 50 min

$14K

158 claims · 0.0%

Your Cost: $86.20/claim|Median: $76.61
1.1× median
90838Top 5%

Psychotherapy, 60 min, add-on to E/M

$13K

92 claims · 0.0%

Your Cost: $136.58/claim|Median: $67.05
2.0× median
90836Top 5%

Psychotherapy, 45 min, add-on to E/M

$11K

79 claims · 0.0%

Your Cost: $136.47/claim|Median: $56.18
2.4× median
80305Normal range

$9K

1,101 claims · 0.0%

Your Cost: $8.52/claim|Median: $7.44
1.1× median
96153Top 25%

Health/behavior intervention, group

$3K

71 claims · 0.0%

Your Cost: $42.40/claim|Median: $6.67
6.4× median
H0031Normal range

Mental health assessment by non-physician

$3K

177 claims · 0.0%

Your Cost: $15.00/claim|Median: $96.18
0.2× median
99404Normal range

$2K

14 claims · 0.0%

Your Cost: $153.27/claim|Median: $104.92
1.5× median
T2022Normal range

Case management, per month

$2K

12 claims · 0.0%

Your Cost: $164.50/claim|Median: $202.77
0.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$2K

850 claims · 0.0%

Your Cost: $2.06/claim|Median: $22.44
0.1× median
96164Top 10%

$2K

84 claims · 0.0%

Your Cost: $20.07/claim|Median: $9.87
2.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$993

30 claims · 0.0%

Your Cost: $33.10/claim|Median: $30.53
1.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$830

129 claims · 0.0%

Your Cost: $6.43/claim|Median: $32.55
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$189

198 claims · 0.0%

Your Cost: $0.95/claim|Median: $9.56
0.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$106

290 claims · 0.0%

Your Cost: $0.36/claim|Median: $12.93
0.0× median
G9011Normal range

$0

43K claims · 0.0%

Your Cost: $0.00/claim|Median: $39.92
G9919Normal range

$0

2,384 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.66
T2038Normal range

Community transition, waiver; per service

$0

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $531.12
G9004Normal range

$0

1,604 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.49
T2024Normal range

Supported employment, waiver, per diem

$0

15K claims · 0.0%

Your Cost: $0.00/claim|Median: $259.38
G8427Normal range

$0

1,346 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02

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