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PLAINS AREA MENTAL HEALTH, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·LE MARS, IA·NPI: 1801867734Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $34.1M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$34.1M

$34,136,387

Total Claims

500K

Beneficiaries

422K

1.2 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$3.4M
+22%
2019
$4.2M
+7%
2020
$4.5M
+17%
2021
$5.2M
+19%
2022
$6.2M
-3%
2023
$6.1M
-25%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (99490 (Chronic care management services, 20 minutes per month)) accounts for 56% of total spending.

99490Top 1%

Chronic care management services, 20 minutes per month

$19.3M

131K claims · 56.4%

Your Cost: $147.15/claim|Median: $6.31
23.3× median
90834Top 25%

Psychotherapy, 45 minutes

$6.4M

71K claims · 18.8%

Your Cost: $90.66/claim|Median: $63.65
1.4× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$2.2M

13K claims · 6.4%

Your Cost: $165.64/claim|Median: $225.50
0.7× median
99214Normal range

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

$1.6M

26K claims · 4.6%

Your Cost: $62.02/claim|Median: $53.41
1.2× median
90791Top 25%

Psychiatric diagnostic evaluation

$1.4M

11K claims · 4.2%

Your Cost: $132.25/claim|Median: $99.21
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$797K

17K claims · 2.3%

Your Cost: $46.22/claim|Median: $41.28
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$665K

7,031 claims · 1.9%

Your Cost: $94.62/claim|Median: $85.66
1.1× median
99213Normal range

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

$510K

11K claims · 1.5%

Your Cost: $45.17/claim|Median: $37.81
1.2× median
Q3014Normal range

Telehealth originating site facility fee

$348K

20K claims · 1.0%

Your Cost: $17.21/claim|Median: $15.37
1.1× median
T2021Normal range

Day habilitation, waiver; per 15 min

$279K

8,271 claims · 0.8%

Your Cost: $33.75/claim|Median: $150.51
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$191K

1,789 claims · 0.6%

Your Cost: $106.75/claim|Median: $74.09
1.4× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$150K

1,160 claims · 0.4%

Your Cost: $129.21/claim|Median: $79.21
1.6× median
90853Top 25%

Group psychotherapy

$122K

2,172 claims · 0.4%

Your Cost: $56.38/claim|Median: $25.02
2.3× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$85K

1,069 claims · 0.2%

Your Cost: $79.06/claim|Median: $92.96
0.9× median
96136Top 10%

Psychological/neuropsychological testing, first 30 min

$78K

1,348 claims · 0.2%

Your Cost: $57.70/claim|Median: $30.49
1.9× median
96101Top 25%

$34K

131 claims · 0.1%

Your Cost: $262.00/claim|Median: $196.08
1.3× median
99203Normal range

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

$2K

65 claims · 0.0%

Your Cost: $34.00/claim|Median: $57.85
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$797

110 claims · 0.0%

Your Cost: $7.25/claim|Median: $22.44
0.3× median
G9008Normal range

Coordination of long-term care services, per month

$395

74K claims · 0.0%

Your Cost: $0.01/claim|Median: $66.78
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$390

14 claims · 0.0%

Your Cost: $27.84/claim|Median: $25.06
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$228

15K claims · 0.0%

Your Cost: $0.01/claim|Median: $55.04
0.0× median
G0506Normal range

Comprehensive assessment of chronic care management

$71

55K claims · 0.0%

Your Cost: $0.00/claim|Median: $7.41
0.0× median
G2065Normal range

$0

1,638 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.39
S0281Normal range

$0

8,305 claims · 0.0%

Your Cost: $0.00/claim|Median: $92.97
G2058Normal range

$0

1,198 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.40
96146Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.79
99426Normal range

$0

4,361 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06
99439Normal range

$0

17K claims · 0.0%

Your Cost: $0.00/claim|Median: $5.83

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Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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