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TRI-STATE ADDICTION RECOVERY RESOURCES

Community/Behavioral Health·HUNTINGTON, WV·NPI: 1790242055Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.7M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2019-042024-07(63 months)

Total Paid

$29.7M

$29,657,013

Total Claims

348K

Beneficiaries

52K

6.7 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2019
$1.3M
+445%
2020
$7.1M
+9%
2021
$7.7M
+2%
2022
$7.8M
-42%
2023
$4.5M
-72%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H0038 (Self-help/peer services, per 15 minutes)) accounts for 53% of total spending.

H0038Top 25%

Self-help/peer services, per 15 minutes

$15.6M

106K claims · 52.5%

Your Cost: $147.37/claim|Median: $55.04
2.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$8.4M

114K claims · 28.3%

Your Cost: $73.48/claim|Median: $74.63
1.0× median
J2315Normal range

$1.8M

1,835 claims · 6.1%

Your Cost: $982.19/claim|Median: $1,045.36
0.9× median
A0120Normal range

Non-emergency mini-bus transport

$1.5M

87K claims · 5.2%

Your Cost: $17.81/claim|Median: $16.09
1.1× median
T1017Normal range

Targeted case management, per 15 min

$653K

9,097 claims · 2.2%

Your Cost: $71.79/claim|Median: $69.56
1.0× median
99214Top 25%

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

$640K

8,200 claims · 2.2%

Your Cost: $78.11/claim|Median: $53.41
1.5× median
H0031Top 25%

Mental health assessment by non-physician

$523K

3,243 claims · 1.8%

Your Cost: $161.25/claim|Median: $96.18
1.7× median
H0032Normal range

Mental health service plan development

$256K

2,882 claims · 0.9%

Your Cost: $88.77/claim|Median: $80.64
1.1× median
80306Normal range

$122K

11K claims · 0.4%

Your Cost: $11.35/claim|Median: $10.29
1.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$72K

3,698 claims · 0.2%

Your Cost: $19.40/claim|Median: $9.56
2.0× median
99213Normal range

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

$60K

1,649 claims · 0.2%

Your Cost: $36.18/claim|Median: $37.81
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$5K

58 claims · 0.0%

Your Cost: $88.26/claim|Median: $74.09
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$2K

62 claims · 0.0%

Your Cost: $29.62/claim|Median: $25.06
1.2× median
87804Normal range

Influenza virus detection, rapid test

$541

57 claims · 0.0%

Your Cost: $9.48/claim|Median: $12.59
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$333

66 claims · 0.0%

Your Cost: $5.04/claim|Median: $3.67
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$270

29 claims · 0.0%

Your Cost: $9.31/claim|Median: $11.48
0.8× median
86308Normal range

$85

29 claims · 0.0%

Your Cost: $2.91/claim|Median: $3.84
0.8× median