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FORESTDALE, INC.

Foster Care Agency·FOREST HILLS, NY·NPI: 1790803831Share

Compared to Foster Care Agency Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.1M is at the 25th percentile among 10 Foster Care Agency providers.

Active Billing Period:2019-07→2024-12(66 months)

Total Paid

$19.1M

$19,090,291

Total Claims

284K

Beneficiaries

36K

7.9 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2019
$1.6M
+153%
2020
$4.0M
-1%
2021
$4.0M
-18%
2022
$3.3M
-8%
2023
$3.0M
+9%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H0041) accounts for 23% of total spending.

H0041Normal range

$4.5M

194K claims · 23.5%

Your Cost: $23.06/claim|Median: $192.56
0.1× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$3.2M

26K claims · 16.7%

Your Cost: $120.95/claim|Median: $74.63
1.6× median
S5145Normal range

Foster care, therapeutic, child, per diem

$3.2M

43K claims · 16.7%

Your Cost: $73.11/claim|Median: $216.31
0.3× median
12170Normal range

$2.6M

876 claims · 13.8%

Your Cost: $3,002.51/claim|Median: $3,002.51
1.0× median
12200Top 1%

$2.5M

6,387 claims · 13.0%

Your Cost: $389.14/claim|Median: $389.14
1.0× median
12160Top 1%

$1.2M

1,367 claims · 6.2%

Your Cost: $868.96/claim|Median: $868.96
1.0× median
99215Top 5%

Office/outpatient visit, high complexity

$671K

2,882 claims · 3.5%

Your Cost: $232.87/claim|Median: $74.09
3.1× median
90791Top 5%

Psychiatric diagnostic evaluation

$308K

1,322 claims · 1.6%

Your Cost: $232.78/claim|Median: $99.21
2.3× median
99402Top 5%

$247K

2,194 claims · 1.3%

Your Cost: $112.54/claim|Median: $31.79
3.5× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$176K

2,096 claims · 0.9%

Your Cost: $83.89/claim|Median: $76.05
1.1× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$166K

644 claims · 0.9%

Your Cost: $257.83/claim|Median: $74.82
3.4× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$124K

493 claims · 0.7%

Your Cost: $252.41/claim|Median: $75.18
3.4× median
99212Top 5%

Office/outpatient visit, low complexity

$90K

458 claims · 0.5%

Your Cost: $195.63/claim|Median: $25.06
7.8× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$49K

230 claims · 0.3%

Your Cost: $211.00/claim|Median: $80.15
2.6× median
99214Top 5%

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

$42K

352 claims · 0.2%

Your Cost: $120.06/claim|Median: $53.41
2.2× median
99403Top 5%

$40K

222 claims · 0.2%

Your Cost: $179.48/claim|Median: $47.11
3.8× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$7K

32 claims · 0.0%

Your Cost: $222.27/claim|Median: $72.71
3.1× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$3K

16 claims · 0.0%

Your Cost: $197.91/claim|Median: $69.35
2.9× median
99401Top 5%

$3K

51 claims · 0.0%

Your Cost: $58.60/claim|Median: $16.53
3.5× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$1K

31 claims · 0.0%

Your Cost: $48.24/claim|Median: $3.67
13.1× median
92551Top 25%

Screening audiometry, pure tone, air only

$469

45 claims · 0.0%

Your Cost: $10.42/claim|Median: $6.61
1.6× median

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