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HILL COUNTRY COMMUNITY MHMR CENTER

Community/Behavioral Health·KERRVILLE, TX·NPI: 1841304201Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.8M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-10(82 months)

Total Paid

$18.8M

$18,803,158

Total Claims

213K

Beneficiaries

62K

3.5 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$213K
-19%
2019
$173K
+189%
2020
$500K
+666%
2021
$3.8M
+40%
2022
$5.4M
+11%
2023
$6.0M
-54%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 39 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 39% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$7.3M

7,061 claims · 39.0%

Your Cost: $1,038.76/claim|Median: $321.53
3.2× median
H2014Normal range

Skills training & development, per 15 min

$3.5M

69K claims · 18.9%

Your Cost: $51.39/claim|Median: $83.88
0.6× median
T1017Normal range

Targeted case management, per 15 min

$1.4M

13K claims · 7.6%

Your Cost: $106.75/claim|Median: $69.56
1.5× median
M0150Normal range

$1.2M

7,601 claims · 6.5%

Your Cost: $161.27/claim|Median: $161.06
1.0× median
M0122Top 1%

$716K

9,868 claims · 3.8%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0123Top 1%

$594K

7,807 claims · 3.2%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$459K

14K claims · 2.4%

Your Cost: $33.94/claim|Median: $87.34
0.4× median
T2016Normal range

Habilitation, residential, waiver; per diem

$429K

8,394 claims · 2.3%

Your Cost: $51.12/claim|Median: $331.94
0.2× median
99214Normal range

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

$372K

9,874 claims · 2.0%

Your Cost: $37.64/claim|Median: $53.41
0.7× median
H2011Normal range

Crisis intervention service, per 15 minutes

$369K

1,634 claims · 2.0%

Your Cost: $226.07/claim|Median: $215.80
1.0× median
M0116Normal range

$231K

7,376 claims · 1.2%

Your Cost: $31.33/claim|Median: $32.07
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$209K

548 claims · 1.1%

Your Cost: $380.62/claim|Median: $24.34
15.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$184K

1,370 claims · 1.0%

Your Cost: $134.52/claim|Median: $99.21
1.4× median
M0152Normal range

$175K

1,033 claims · 0.9%

Your Cost: $169.49/claim|Median: $174.64
1.0× median
M0115Normal range

$155K

5,529 claims · 0.8%

Your Cost: $28.04/claim|Median: $29.58
0.9× median
M0372Normal range

$148K

20K claims · 0.8%

Your Cost: $7.28/claim|Median: $13.55
0.5× median
M0354Normal range

$138K

2,880 claims · 0.7%

Your Cost: $47.97/claim|Median: $90.61
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$130K

1,107 claims · 0.7%

Your Cost: $117.42/claim|Median: $108.91
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$129K

1,529 claims · 0.7%

Your Cost: $84.45/claim|Median: $91.63
0.9× median
M0118Normal range

$120K

3,351 claims · 0.6%

Your Cost: $35.67/claim|Median: $38.00
0.9× median
M0113Normal range

$85K

268 claims · 0.5%

Your Cost: $316.08/claim|Median: $397.30
0.8× median
99213Normal range

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

$79K

2,942 claims · 0.4%

Your Cost: $26.98/claim|Median: $37.81
0.7× median
90837Top 25%

Psychotherapy, 60 minutes

$78K

743 claims · 0.4%

Your Cost: $105.35/claim|Median: $85.66
1.2× median
H0034Normal range

Medication training and management, per 15 min

$73K

3,201 claims · 0.4%

Your Cost: $22.66/claim|Median: $56.90
0.4× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$62K

1,154 claims · 0.3%

Your Cost: $53.72/claim|Median: $84.12
0.6× median
M0360Normal range

$58K

881 claims · 0.3%

Your Cost: $65.66/claim|Median: $102.43
0.6× median
T1002Normal range

RN services, per 15 minutes

$58K

3,122 claims · 0.3%

Your Cost: $18.51/claim|Median: $37.42
0.5× median
90834Top 25%

Psychotherapy, 45 minutes

$56K

577 claims · 0.3%

Your Cost: $96.81/claim|Median: $63.65
1.5× median
M0133Normal range

$42K

716 claims · 0.2%

Your Cost: $59.26/claim|Median: $84.70
0.7× median
M0299Normal range

$32K

1,299 claims · 0.2%

Your Cost: $24.95/claim|Median: $34.98
0.7× median
T1003Normal range

LPN/LVN services, per 15 minutes

$24K

2,159 claims · 0.1%

Your Cost: $11.07/claim|Median: $24.24
0.5× median
M0201Normal range

$20K

758 claims · 0.1%

Your Cost: $26.60/claim|Median: $18.33
1.5× median
M0315Normal range

$19K

674 claims · 0.1%

Your Cost: $28.66/claim|Median: $29.80
1.0× median
M0101Normal range

$12K

188 claims · 0.1%

Your Cost: $65.66/claim|Median: $65.66
1.0× median
M0298Normal range

$5K

431 claims · 0.0%

Your Cost: $10.81/claim|Median: $13.85
0.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$3K

657 claims · 0.0%

Your Cost: $4.05/claim|Median: $55.04
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$2K

79 claims · 0.0%

Your Cost: $30.76/claim|Median: $25.06
1.2× median
M0248Normal range

$1K

179 claims · 0.0%

Your Cost: $6.82/claim|Median: $5.31
1.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$222

15 claims · 0.0%

Your Cost: $14.83/claim|Median: $9.56
1.6× median