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CATHOLIC CHARITIES OF THE DIOCESE OF ROCHESTER

Community/Behavioral Health·ROCHESTER, NY·NPI: 1790853844Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.6M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-07→2024-12(74 months)

Total Paid

$19.6M

$19,614,621

Total Claims

188K

Beneficiaries

83K

2.3 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018
$2K
+88690%
2019
$1.4M
+245%
2020
$4.8M
-25%
2021
$3.6M
-7%
2022
$3.3M
+20%
2023
$4.0M
-35%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 33% of total spending.

H2036Normal range

Alcohol/drug treatment, per hour

$6.5M

46K claims · 33.0%

Your Cost: $139.60/claim|Median: $253.79
0.6× median
90832Top 10%

Psychotherapy, 30 minutes

$4.0M

42K claims · 20.3%

Your Cost: $95.61/claim|Median: $41.28
2.3× median
90834Top 10%

Psychotherapy, 45 minutes

$1.6M

12K claims · 7.9%

Your Cost: $130.46/claim|Median: $63.65
2.0× median
H2001Normal range

$1.1M

15K claims · 5.5%

Your Cost: $74.40/claim|Median: $309.28
0.2× median
90791Top 25%

Psychiatric diagnostic evaluation

$1.0M

6,356 claims · 5.2%

Your Cost: $160.45/claim|Median: $99.21
1.6× median
H0005Normal range

Alcohol and/or drug services, group counseling

$892K

18K claims · 4.5%

Your Cost: $48.99/claim|Median: $47.35
1.0× median
99213Top 5%

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

$812K

8,212 claims · 4.1%

Your Cost: $98.93/claim|Median: $37.81
2.6× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$744K

7,814 claims · 3.8%

Your Cost: $95.17/claim|Median: $40.58
2.3× median
H0001Normal range

Alcohol and/or drug assessment

$599K

4,336 claims · 3.1%

Your Cost: $138.21/claim|Median: $94.22
1.5× median
99214Top 25%

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

$592K

6,088 claims · 3.0%

Your Cost: $97.16/claim|Median: $53.41
1.8× median
90853Top 25%

Group psychotherapy

$574K

11K claims · 2.9%

Your Cost: $51.86/claim|Median: $25.02
2.1× median
G0397Normal range

$527K

4,258 claims · 2.7%

Your Cost: $123.71/claim|Median: $142.31
0.9× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$239K

1,116 claims · 1.2%

Your Cost: $214.25/claim|Median: $108.91
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$214K

2,026 claims · 1.1%

Your Cost: $105.77/claim|Median: $25.06
4.2× median
H2010Normal range

Comprehensive medication services, per 15 min

$63K

1,010 claims · 0.3%

Your Cost: $62.32/claim|Median: $62.69
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$61K

432 claims · 0.3%

Your Cost: $142.11/claim|Median: $215.80
0.7× median
99403Normal range

$58K

873 claims · 0.3%

Your Cost: $67.00/claim|Median: $47.11
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$49K

645 claims · 0.3%

Your Cost: $76.29/claim|Median: $74.09
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$26K

463 claims · 0.1%

Your Cost: $56.54/claim|Median: $55.04
1.0× median
H0002Top 10%

Behavioral health screening

$21K

140 claims · 0.1%

Your Cost: $153.37/claim|Median: $38.77
4.0× median
99404Normal range

$18K

212 claims · 0.1%

Your Cost: $85.33/claim|Median: $104.92
0.8× median
99402Top 25%

$15K

280 claims · 0.1%

Your Cost: $53.19/claim|Median: $31.79
1.7× median
H0050Normal range

$5K

133 claims · 0.0%

Your Cost: $40.38/claim|Median: $46.71
0.9× median
90833Top 25%

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

$5K

89 claims · 0.0%

Your Cost: $58.28/claim|Median: $38.83
1.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$3K

65 claims · 0.0%

Your Cost: $42.13/claim|Median: $74.63
0.6× median
99401Top 5%

$508

12 claims · 0.0%

Your Cost: $42.30/claim|Median: $16.53
2.6× median

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