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NAPA COUNTY

Community/Behavioral Health·NAPA, CA·NPI: 1821143058Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.2M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-02(74 months)
Billing appears to have stoppedLast active: 2024-02

Total Paid

$61.2M

$61,221,479

Total Claims

117K

Beneficiaries

58K

2.0 claims/patient

Avg Cost/Claim

$524

Monthly Spending Trend

Yearly Spending

2018
$10.4M
+2%
2019
$10.6M
-1%
2020
$10.4M
-7%
2021
$9.7M
-10%
2022
$8.7M
+28%
2023
$11.1M
-96%
2024
$398K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 31% of total spending.

H2015Top 5%

Comprehensive community support services, per 15 min

$19.3M

42K claims · 31.5%

Your Cost: $461.10/claim|Median: $96.24
4.8× median
S9484Top 10%

Crisis intervention mental health services, per hour

$9.0M

4,132 claims · 14.7%

Your Cost: $2,172.30/claim|Median: $249.51
8.7× median
H2017Top 5%

Psychosocial rehabilitation services, per 15 min

$8.7M

21K claims · 14.2%

Your Cost: $417.92/claim|Median: $91.63
4.6× median
H2010Top 25%

Comprehensive medication services, per 15 min

$7.8M

23K claims · 12.7%

Your Cost: $338.08/claim|Median: $62.69
5.4× median
H0018Top 1%

Behavioral health; short-term residential, per diem

$5.3M

839 claims · 8.7%

Your Cost: $6,313.32/claim|Median: $467.51
13.5× median
T1017Top 5%

Targeted case management, per 15 min

$4.4M

13K claims · 7.1%

Your Cost: $337.79/claim|Median: $69.56
4.9× median
H0032Top 5%

Mental health service plan development

$2.4M

6,530 claims · 3.9%

Your Cost: $361.70/claim|Median: $80.64
4.5× median
H0019Top 5%

Behavioral health; residential, per diem

$1.9M

373 claims · 3.1%

Your Cost: $5,073.78/claim|Median: $357.16
14.2× median
99214Top 1%

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

$573K

596 claims · 0.9%

Your Cost: $961.33/claim|Median: $53.41
18.0× median
99215Top 1%

Office/outpatient visit, high complexity

$531K

400 claims · 0.9%

Your Cost: $1,327.74/claim|Median: $74.09
17.9× median
90837Top 1%

Psychotherapy, 60 minutes

$515K

1,221 claims · 0.8%

Your Cost: $421.73/claim|Median: $85.66
4.9× median
G2212Top 10%

Prolonged office/outpatient E/M, each additional 15 min

$369K

701 claims · 0.6%

Your Cost: $526.97/claim|Median: $72.96
7.2× median
90834Top 1%

Psychotherapy, 45 minutes

$161K

469 claims · 0.3%

Your Cost: $342.41/claim|Median: $63.65
5.4× median
H0034Top 25%

Medication training and management, per 15 min

$139K

553 claims · 0.2%

Your Cost: $251.75/claim|Median: $56.90
4.4× median
99213Top 1%

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

$85K

120 claims · 0.1%

Your Cost: $709.99/claim|Median: $37.81
18.8× median
90791Normal range

Psychiatric diagnostic evaluation

$75K

737 claims · 0.1%

Your Cost: $101.72/claim|Median: $99.21
1.0× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$49K

262 claims · 0.1%

Your Cost: $186.65/claim|Median: $9.56
19.5× median
H2000Top 5%

Comprehensive multidisciplinary evaluation

$31K

78 claims · 0.0%

Your Cost: $391.29/claim|Median: $114.71
3.4× median
99212Top 1%

Office/outpatient visit, low complexity

$30K

76 claims · 0.0%

Your Cost: $390.44/claim|Median: $25.06
15.6× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$20K

56 claims · 0.0%

Your Cost: $364.89/claim|Median: $108.91
3.4× median
90832Top 5%

Psychotherapy, 30 minutes

$20K

88 claims · 0.0%

Your Cost: $223.17/claim|Median: $41.28
5.4× median
T1007Normal range

Alcohol/drug services, treatment plan review

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $64.10
H2013Normal range

Psychiatric health facility service, per diem

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $841.93
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$0

158 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63
H0005Normal range

Alcohol and/or drug services, group counseling

$0

890 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35
G0397Normal range

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $142.31