Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

GEORGIA PINES COMMUNITY SERVICE BOARD

Community/Behavioral Health·THOMASVILLE, GA·NPI: 1811041676Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $45.3M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$45.3M

$45,340,008

Total Claims

271K

Beneficiaries

148K

1.8 claims/patient

Avg Cost/Claim

$167

Monthly Spending Trend

Yearly Spending

2018
$7.4M
+19%
2019
$8.8M
-20%
2020
$7.1M
-13%
2021
$6.2M
-4%
2022
$6.0M
-10%
2023
$5.4M
-16%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (T2033 (Residential care, NOS; per diem)) accounts for 43% of total spending.

T2033Top 10%

Residential care, NOS; per diem

$19.5M

3,303 claims · 42.9%

Your Cost: $5,889.22/claim|Median: $1,051.57
5.6× median
T2025Top 10%

Waiver services, NOS; per 15 min

$5.0M

6,155 claims · 11.0%

Your Cost: $811.92/claim|Median: $124.39
6.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$2.8M

52K claims · 6.2%

Your Cost: $54.09/claim|Median: $91.63
0.6× median
H0039Normal range

Assertive community treatment, per diem

$2.7M

32K claims · 6.0%

Your Cost: $85.21/claim|Median: $132.62
0.6× median
T2017Top 10%

Habilitation, residential, waiver; 15 min

$2.2M

671 claims · 4.8%

Your Cost: $3,212.11/claim|Median: $137.32
23.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$2.0M

36K claims · 4.5%

Your Cost: $56.41/claim|Median: $55.04
1.0× median
H0031Normal range

Mental health assessment by non-physician

$1.8M

17K claims · 4.0%

Your Cost: $108.39/claim|Median: $96.18
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$1.6M

17K claims · 3.4%

Your Cost: $90.93/claim|Median: $85.66
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.4M

28K claims · 3.1%

Your Cost: $50.38/claim|Median: $96.24
0.5× median
T2015Top 25%

Habilitation, prevocational, waiver, per diem

$996K

1,767 claims · 2.2%

Your Cost: $563.50/claim|Median: $88.27
6.4× median
99214Normal range

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

$895K

14K claims · 2.0%

Your Cost: $65.29/claim|Median: $53.41
1.2× median
99213Normal range

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

$846K

17K claims · 1.9%

Your Cost: $50.31/claim|Median: $37.81
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$707K

6,814 claims · 1.6%

Your Cost: $103.75/claim|Median: $108.91
1.0× median
T1001Normal range

Nursing assessment/evaluation, per visit

$637K

17K claims · 1.4%

Your Cost: $38.12/claim|Median: $49.05
0.8× median
T1003Top 1%

LPN/LVN services, per 15 minutes

$592K

263 claims · 1.3%

Your Cost: $2,251.12/claim|Median: $24.24
92.9× median
90834Normal range

Psychotherapy, 45 minutes

$468K

6,374 claims · 1.0%

Your Cost: $73.40/claim|Median: $63.65
1.2× median
T1002Top 25%

RN services, per 15 minutes

$362K

2,163 claims · 0.8%

Your Cost: $167.48/claim|Median: $37.42
4.5× median
90832Normal range

Psychotherapy, 30 minutes

$270K

6,815 claims · 0.6%

Your Cost: $39.61/claim|Median: $41.28
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$234K

2,650 claims · 0.5%

Your Cost: $88.45/claim|Median: $215.80
0.4× median
T2028Top 25%

Specialized supply, NOS; per unit

$82K

426 claims · 0.2%

Your Cost: $191.68/claim|Median: $79.30
2.4× median
90791Normal range

Psychiatric diagnostic evaluation

$74K

794 claims · 0.2%

Your Cost: $93.27/claim|Median: $99.21
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$73K

734 claims · 0.2%

Your Cost: $99.32/claim|Median: $74.09
1.3× median
T1016Normal range

Case management, each 15 min

$45K

730 claims · 0.1%

Your Cost: $62.27/claim|Median: $49.62
1.3× median
H0032Normal range

Mental health service plan development

$32K

408 claims · 0.1%

Your Cost: $78.27/claim|Median: $80.64
1.0× median
H2014Normal range

Skills training & development, per 15 min

$17K

597 claims · 0.0%

Your Cost: $27.87/claim|Median: $83.88
0.3× median
H2010Normal range

Comprehensive medication services, per 15 min

$11K

563 claims · 0.0%

Your Cost: $19.64/claim|Median: $62.69
0.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1K

39 claims · 0.0%

Your Cost: $37.96/claim|Median: $74.63
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$689

25 claims · 0.0%

Your Cost: $27.56/claim|Median: $25.06
1.1× median
90833Normal range

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

$0

187 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.83

Other Top Providers in Georgia

View all →

Public Partnerships LLC

Supports Brokerage

$520.3M

Scottish Rite Children's Medical Center

Pediatrics Pediatric Hematology-Oncology

$493.4M

Egleston Children's Hospital at Emory University Inc.

Pediatrics Pediatric Emergency Medicine

$222.6M

Southern Home Care Services Inc.

Home Health

$212.2M

Quest Diagnostics Clinical Laboratories INC

Clinical Medical Laboratory

$211.1M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providersAll providers in Georgia →How we detect fraud →