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MENTAL HEALTH SERVICES EN ESPANOL LLC

Assistant Behavior Analyst·FAIRFAX, VA·NPI: 1811089014Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$22.9M

$22,884,479

Total Claims

100K

Beneficiaries

12K

8.3 claims/patient

Avg Cost/Claim

$228

Monthly Spending Trend

Yearly Spending

2018
$4.4M
-4%
2019
$4.2M
-48%
2020
$2.2M
-37%
2021
$1.4M
+53%
2022
$2.1M
+85%
2023
$3.9M
+18%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H2033 (Multisystemic therapy for juveniles, per 15 minutes)) accounts for 48% of total spending.

H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$11.1M

52K claims · 48.3%

Your Cost: $212.17/claim|Median: $227.82
0.9× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$5.9M

27K claims · 26.0%

Your Cost: $220.29/claim|Median: $167.38
1.3× median
97155Top 5%

Adaptive behavior treatment with protocol modification, per 15 minutes

$3.5M

12K claims · 15.3%

Your Cost: $288.06/claim|Median: $146.45
2.0× median
H2012Top 10%

Behavioral health day treatment, per hour

$1.1M

2,982 claims · 4.6%

Your Cost: $355.62/claim|Median: $137.86
2.6× median
97151Top 25%

Behavior identification assessment

$830K

2,493 claims · 3.6%

Your Cost: $332.98/claim|Median: $161.10
2.1× median
97156Top 25%

$471K

3,461 claims · 2.1%

Your Cost: $136.00/claim|Median: $88.65
1.5× median
H0032Top 10%

Mental health service plan development

$13K

59 claims · 0.1%

Your Cost: $220.68/claim|Median: $80.64
2.7× median
97152Normal range

$9K

71 claims · 0.0%

Your Cost: $126.45/claim|Median: $155.16
0.8× median

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