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California Psychcare, Inc.

Behavior Analyst·Van Nuys, CA·NPI: 1811289150Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $154.8M is at the 99th percentile among 31 Behavior Analyst providers.

Above 99th percentile for this specialty — higher spending than 30 of 31 peers

Active Billing Period:2018-012024-11(83 months)

Total Paid

$154.8M

$154,847,853

Total Claims

1.5M

Beneficiaries

248K

6.2 claims/patient

Avg Cost/Claim

$101

#688 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

California Psychcare, Inc. is a Behavior Analyst provider based in Van Nuys, CA. From the 2018–2024 period, this provider received $154.8M in Medicaid payments across 1.5M claims.

Why This Matters

This provider received $154.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,355 Medicaid beneficiaries for a full year at average per-enrollee costs.

42% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.5M
+50%
2019
$27.7M
-16%
2020
$23.2M
-7%
2021
$21.5M
-13%
2022
$18.6M
+2%
2023
$19.0M
+38%
2024
$26.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 69% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$107.0M

943K claims · 69.1%

Your Cost: $113.49/claim|Median: $84.12
1.4× median
H0032Normal range

Mental health service plan development

$23.8M

215K claims · 15.4%

Your Cost: $110.58/claim|Median: $80.64
1.4× median
H0046Normal range

Mental health services, not otherwise specified

$7.7M

72K claims · 5.0%

Your Cost: $106.85/claim|Median: $85.02
1.3× median
S5111Normal range

Home care training, family member, per session

$6.5M

86K claims · 4.2%

Your Cost: $75.31/claim|Median: $87.13
0.9× median
H0031Normal range

Mental health assessment by non-physician

$5.3M

44K claims · 3.4%

Your Cost: $120.69/claim|Median: $96.18
1.3× median
T1014Normal range

$2.2M

152K claims · 1.4%

Your Cost: $14.33/claim|Median: $12.88
1.1× median
H2012Normal range

Behavioral health day treatment, per hour

$1.6M

12K claims · 1.0%

Your Cost: $137.12/claim|Median: $137.86
1.0× median
S5110Normal range

Home care training, family; per 15 min

$231K

3K claims · 0.1%

Your Cost: $84.31/claim|Median: $74.36
1.1× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$181K

2K claims · 0.1%

Your Cost: $97.33/claim|Median: $167.38
0.6× median
H2014Normal range

Skills training & development, per 15 min

$154K

2K claims · 0.1%

Your Cost: $62.82/claim|Median: $83.88
0.8× median
G9012Normal range

Other specified case management service, per 15 minutes

$142K

1K claims · 0.1%

Your Cost: $103.53/claim|Median: $137.85
0.8× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$97K

658 claims · 0.1%

Your Cost: $146.95/claim|Median: $146.45
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$48K

2K claims · 0.0%

Your Cost: $22.45/claim|Median: $74.63
0.3× median
97156Normal range

$3K

25 claims · 0.0%

Your Cost: $104.72/claim|Median: $88.65
1.2× median
99213Top 5%

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

$2K

26 claims · 0.0%

Your Cost: $96.10/claim|Median: $37.81
2.5× median

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