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COMMUNITY PSYCHIATRIC INSTITUTE

Community/Behavioral Health·EAST ORANGE, NJ·NPI: 1811053101Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.8M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$19.8M

$19,760,702

Total Claims

449K

Beneficiaries

37K

12.1 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-5%
2019
$3.0M
+3%
2020
$3.1M
-22%
2021
$2.4M
+4%
2022
$2.5M
+13%
2023
$2.8M
-2%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (H0035 (Mental health partial hospitalization, treatment, per hour)) accounts for 91% of total spending.

H0035Normal range

Mental health partial hospitalization, treatment, per hour

$18.0M

213K claims · 91.1%

Your Cost: $84.45/claim|Median: $148.53
0.6× median
A0090Normal range

Non-emergency transport, per mile

$986K

117K claims · 5.0%

Your Cost: $8.44/claim|Median: $10.45
0.8× median
A0425Normal range

Ground mileage, per statute mile

$551K

116K claims · 2.8%

Your Cost: $4.74/claim|Median: $23.36
0.2× median
99213Top 25%

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

$86K

1,248 claims · 0.4%

Your Cost: $69.04/claim|Median: $37.81
1.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$85K

534 claims · 0.4%

Your Cost: $159.91/claim|Median: $99.21
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$40K

872 claims · 0.2%

Your Cost: $45.79/claim|Median: $25.06
1.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$5K

472 claims · 0.0%

Your Cost: $11.30/claim|Median: $12.93
0.9× median