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COMMUNICARE INC

Community/Behavioral Health·ELIZABETHTOWN, KY·NPI: 1801933247Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.5M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$49.5M

$49,465,337

Total Claims

477K

Beneficiaries

298K

1.6 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018
$10.6M
-17%
2019
$8.9M
-25%
2020
$6.6M
-1%
2021
$6.6M
+2%
2022
$6.7M
-13%
2023
$5.8M
-28%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 38 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 29% of total spending.

T2023Normal range

Community transition, waiver; per service

$14.2M

45K claims · 28.7%

Your Cost: $318.30/claim|Median: $300.13
1.1× median
90837Top 25%

Psychotherapy, 60 minutes

$10.9M

106K claims · 22.0%

Your Cost: $102.59/claim|Median: $85.66
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$3.5M

63K claims · 7.0%

Your Cost: $54.59/claim|Median: $41.28
1.3× median
H0040Normal range

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

$3.1M

3,603 claims · 6.2%

Your Cost: $856.65/claim|Median: $266.41
3.2× median
S9485Normal range

Crisis intervention mental health services, per diem

$2.5M

10K claims · 5.1%

Your Cost: $245.53/claim|Median: $501.33
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$2.5M

32K claims · 5.0%

Your Cost: $78.62/claim|Median: $63.65
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$2.0M

62K claims · 4.1%

Your Cost: $32.45/claim|Median: $55.04
0.6× median
99213Normal range

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

$1.8M

49K claims · 3.7%

Your Cost: $37.87/claim|Median: $37.81
1.0× median
H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$1.7M

6,772 claims · 3.5%

Your Cost: $254.40/claim|Median: $317.54
0.8× median
90847Top 25%

Family psychotherapy with patient, 50 min

$1.2M

11K claims · 2.5%

Your Cost: $108.88/claim|Median: $77.33
1.4× median
90887Top 10%

Interpretation/explanation of results

$1.2M

11K claims · 2.3%

Your Cost: $103.97/claim|Median: $47.55
2.2× median
H2021Normal range

Community-based wrap-around services, per 15 min

$1.0M

8,175 claims · 2.1%

Your Cost: $125.14/claim|Median: $169.11
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$938K

8,819 claims · 1.9%

Your Cost: $106.33/claim|Median: $99.21
1.1× median
90853Normal range

Group psychotherapy

$912K

32K claims · 1.8%

Your Cost: $28.68/claim|Median: $25.02
1.1× median
H0018Normal range

Behavioral health; short-term residential, per diem

$652K

3,413 claims · 1.3%

Your Cost: $191.10/claim|Median: $467.51
0.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$378K

2,494 claims · 0.8%

Your Cost: $151.68/claim|Median: $108.91
1.4× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$185K

1,500 claims · 0.4%

Your Cost: $123.31/claim|Median: $129.75
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$118K

2,645 claims · 0.2%

Your Cost: $44.67/claim|Median: $96.24
0.5× median
99222Normal range

Initial hospital care, per day, moderate complexity

$100K

1,774 claims · 0.2%

Your Cost: $56.43/claim|Median: $51.25
1.1× median
99221Normal range

Initial hospital care, straightforward/low

$97K

2,092 claims · 0.2%

Your Cost: $46.36/claim|Median: $39.96
1.2× median
90846Top 25%

Family psychotherapy without patient, 50 min

$92K

877 claims · 0.2%

Your Cost: $105.15/claim|Median: $76.61
1.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$89K

3,060 claims · 0.2%

Your Cost: $29.10/claim|Median: $23.99
1.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$65K

1,892 claims · 0.1%

Your Cost: $34.50/claim|Median: $37.22
0.9× median
H0031Normal range

Mental health assessment by non-physician

$47K

427 claims · 0.1%

Your Cost: $110.28/claim|Median: $96.18
1.1× median
99214Normal range

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

$34K

545 claims · 0.1%

Your Cost: $62.65/claim|Median: $53.41
1.2× median
H0025Normal range

Behavioral health prevention education, per session

$33K

996 claims · 0.1%

Your Cost: $32.89/claim|Median: $36.25
0.9× median
H0019Normal range

Behavioral health; residential, per diem

$29K

160 claims · 0.1%

Your Cost: $181.13/claim|Median: $357.16
0.5× median
H0046Normal range

Mental health services, not otherwise specified

$14K

480 claims · 0.0%

Your Cost: $28.75/claim|Median: $85.02
0.3× median
H0006Top 25%

Alcohol and/or drug services, case management

$10K

106 claims · 0.0%

Your Cost: $92.96/claim|Median: $43.10
2.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$9K

225 claims · 0.0%

Your Cost: $38.41/claim|Median: $35.30
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$5K

850 claims · 0.0%

Your Cost: $6.31/claim|Median: $12.93
0.5× median
H0024Normal range

$4K

106 claims · 0.0%

Your Cost: $35.73/claim|Median: $27.14
1.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$4K

30 claims · 0.0%

Your Cost: $121.28/claim|Median: $215.80
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$3K

29 claims · 0.0%

Your Cost: $97.71/claim|Median: $67.32
1.5× median
90785Normal range

$3K

1,727 claims · 0.0%

Your Cost: $1.59/claim|Median: $6.43
0.2× median
Q3014Normal range

Telehealth originating site facility fee

$551

2,673 claims · 0.0%

Your Cost: $0.21/claim|Median: $15.37
0.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$407

18 claims · 0.0%

Your Cost: $22.60/claim|Median: $16.77
1.3× median
S9446Normal range

$200

74 claims · 0.0%

Your Cost: $2.70/claim|Median: $13.66
0.2× median

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Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

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$2.25B

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$1.73B

County of Riverside

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City & County of San Francisco

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