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NYS OFFICE OF MENTAL HEALTH

Clinic/Center, Adolescent and Children Mental Health·BELLEROSE, NY·NPI: 1831446798Share

Compared to Clinic/Center, Adolescent and Children Mental Health Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.8M is at the 50th percentile among 5 Clinic/Center, Adolescent and Children Mental Health providers.

Active Billing Period:2018-012024-12(73 months)

Total Paid

$21.8M

$21,755,559

Total Claims

74K

Beneficiaries

19K

3.9 claims/patient

Avg Cost/Claim

$295

Monthly Spending Trend

Yearly Spending

2018
$69K
+1899%
2019
$1.4M
+334%
2020
$6.0M
-15%
2021
$5.1M
-22%
2022
$4.0M
-7%
2023
$3.7M
-60%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2012 (Behavioral health day treatment, per hour)) accounts for 76% of total spending.

H2012Top 10%

Behavioral health day treatment, per hour

$16.5M

50K claims · 76.1%

Your Cost: $330.81/claim|Median: $137.86
2.4× median
90834Top 1%

Psychotherapy, 45 minutes

$1.9M

6,194 claims · 8.6%

Your Cost: $300.36/claim|Median: $63.65
4.7× median
90832Top 1%

Psychotherapy, 30 minutes

$1.2M

5,038 claims · 5.4%

Your Cost: $233.63/claim|Median: $41.28
5.7× median
99214Top 1%

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

$709K

2,890 claims · 3.3%

Your Cost: $245.42/claim|Median: $53.41
4.6× median
99215Top 5%

Office/outpatient visit, high complexity

$405K

1,767 claims · 1.9%

Your Cost: $229.13/claim|Median: $74.09
3.1× median
90836Top 1%

Psychotherapy, 45 min, add-on to E/M

$255K

1,266 claims · 1.2%

Your Cost: $201.36/claim|Median: $56.18
3.6× median
90833Top 1%

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

$191K

1,364 claims · 0.9%

Your Cost: $140.33/claim|Median: $38.83
3.6× median
99213Top 1%

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

$187K

747 claims · 0.9%

Your Cost: $250.09/claim|Median: $37.81
6.6× median
90837Top 5%

Psychotherapy, 60 minutes

$95K

366 claims · 0.4%

Your Cost: $259.90/claim|Median: $85.66
3.0× median
90847Top 1%

Family psychotherapy with patient, 50 min

$89K

234 claims · 0.4%

Your Cost: $380.51/claim|Median: $77.33
4.9× median
90882Top 25%

Environmental intervention

$79K

1,303 claims · 0.4%

Your Cost: $60.99/claim|Median: $45.05
1.4× median
90846Top 5%

Family psychotherapy without patient, 50 min

$64K

265 claims · 0.3%

Your Cost: $243.08/claim|Median: $76.61
3.2× median
99051Top 10%

$55K

2,006 claims · 0.3%

Your Cost: $27.57/claim|Median: $7.89
3.5× median
H2011Normal range

Crisis intervention service, per 15 minutes

$17K

43 claims · 0.1%

Your Cost: $398.73/claim|Median: $215.80
1.8× median
99403Top 25%

$7K

68 claims · 0.0%

Your Cost: $97.84/claim|Median: $47.11
2.1× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$5K

13 claims · 0.0%

Your Cost: $415.60/claim|Median: $108.91
3.8× median
90853Top 5%

Group psychotherapy

$5K

44 claims · 0.0%

Your Cost: $117.50/claim|Median: $25.02
4.7× median
99402Top 25%

$3K

35 claims · 0.0%

Your Cost: $73.83/claim|Median: $31.79
2.3× median
90849Top 25%

Multiple-family group psychotherapy

$2K

21 claims · 0.0%

Your Cost: $74.81/claim|Median: $40.78
1.8× median

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