Is MARYHURST, INC. flagged for Medicaid fraud?

MARYHURST, INC. (NPI: 1851713614) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does MARYHURST, INC. bill Medicaid?

MARYHURST, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in LOUISVILLE, KY.

What is NPI 1851713614?

NPI 1851713614 is the National Provider Identifier for MARYHURST, INC.. They are a Community/Behavioral Health provider based in LOUISVILLE, KY. This NPI is registered with the CMS NPI Registry.

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MARYHURST, INC.

Community/Behavioral Health·LOUISVILLE, KY·NPI: 1851713614Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.7M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$29.7M

$29,655,315

Total Claims

122K

Beneficiaries

56K

2.2 claims/patient

Avg Cost/Claim

$243

Monthly Spending Trend

Yearly Spending

2018

$1.0M

+298%

2019

$4.1M

+14%

2020

$4.7M

+48%

2021

$7.0M

-32%

2022

$4.7M

-2%

2023

$4.7M

-28%

2024

$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H2018 (Psychosocial rehabilitation services, per diem)) accounts for 78% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2018Psychosocial rehabilitation services, per diemSee all providers →

$23.2M

14K claims

$1,719.77

$392.63

4.4×

Top 25%

H2018Top 25%

Psychosocial rehabilitation services, per diem

$23.2M

14K claims · 78.4%

Your Cost: $1,719.77/claim|Median: $392.63

4.4× median

90837Psychotherapy, 60 minutesSee all providers →

$2.1M

32K claims

$67.80

$85.66

0.8×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$2.1M

32K claims · 7.2%

Your Cost: $67.80/claim|Median: $85.66

0.8× median

H2015Comprehensive community support services, per 15 minSee all providers →

$910K

21K claims

$43.32

$96.24

0.5×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$910K

21K claims · 3.1%

Your Cost: $43.32/claim|Median: $96.24

0.5× median

H2021Community-based wrap-around services, per 15 minSee all providers →

$886K

8,376 claims

$105.83

$169.11

0.6×

Normal range

H2021Normal range

Community-based wrap-around services, per 15 min

$886K

8,376 claims · 3.0%

Your Cost: $105.83/claim|Median: $169.11

0.6× median

H0032Mental health service plan developmentSee all providers →

$688K

12K claims

$55.83

$80.64

0.7×

Normal range

H0032Normal range

Mental health service plan development

$688K

12K claims · 2.3%

Your Cost: $55.83/claim|Median: $80.64

0.7× median

H0031Mental health assessment by non-physicianSee all providers →

$400K

7,015 claims

$57.06

$96.18

0.6×

Normal range

H0031Normal range

Mental health assessment by non-physician

$400K

7,015 claims · 1.3%

Your Cost: $57.06/claim|Median: $96.18

0.6× median

90834Psychotherapy, 45 minutesSee all providers →

$360K

7,586 claims

$47.43

$63.65

0.7×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$360K

7,586 claims · 1.2%

Your Cost: $47.43/claim|Median: $63.65

0.7× median

T2023Community transition, waiver; per serviceSee all providers →

$280K

1,199 claims

$233.31

$300.13

0.8×

Normal range

T2023Normal range

Community transition, waiver; per service

$280K

1,199 claims · 0.9%

Your Cost: $233.31/claim|Median: $300.13

0.8× median

90832Psychotherapy, 30 minutesSee all providers →

$200K

5,730 claims

$34.89

$41.28

0.8×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$200K

5,730 claims · 0.7%

Your Cost: $34.89/claim|Median: $41.28

0.8× median

90847Family psychotherapy with patient, 50 minSee all providers →

$196K

4,005 claims

$48.90

$77.33

0.6×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$196K

4,005 claims · 0.7%

Your Cost: $48.90/claim|Median: $77.33

0.6× median

99354 See all providers →

$103K

1,872 claims

$54.79

$54.96

1.0×

Normal range

99354Normal range

$103K

1,872 claims · 0.3%

Your Cost: $54.79/claim|Median: $54.96

1.0× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$97K

1,174 claims

$82.83

$74.63

1.1×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$97K

1,174 claims · 0.3%

Your Cost: $82.83/claim|Median: $74.63

1.1× median

H0002Behavioral health screeningSee all providers →

$79K

1,363 claims

$57.60

$38.77

1.5×

Normal range

H0002Normal range

Behavioral health screening

$79K

1,363 claims · 0.3%

Your Cost: $57.60/claim|Median: $38.77

1.5× median

90846Family psychotherapy without patient, 50 minSee all providers →

$35K

752 claims

$45.99

$76.61

0.6×

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

$35K

752 claims · 0.1%

Your Cost: $45.99/claim|Median: $76.61

0.6× median

90887Interpretation/explanation of resultsSee all providers →

$14K

425 claims

$32.56

$47.55

0.7×

Normal range

90887Normal range

Interpretation/explanation of results

$14K

425 claims · 0.0%

Your Cost: $32.56/claim|Median: $47.55

0.7× median

G2012Brief communication technology-based serviceSee all providers →

$7K

1,277 claims

$5.58

$8.79

0.6×

Normal range

G2012Normal range

Brief communication technology-based service

$7K

1,277 claims · 0.0%

Your Cost: $5.58/claim|Median: $8.79

0.6× median

97151Behavior identification assessmentSee all providers →

$6K

77 claims

$77.35

$161.10

0.5×

Normal range

97151Normal range

Behavior identification assessment

$6K

77 claims · 0.0%

Your Cost: $77.35/claim|Median: $161.10

0.5× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$5K

111 claims

$46.09

$37.81

1.2×

Normal range

99213Normal range

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

$5K

111 claims · 0.0%

Your Cost: $46.09/claim|Median: $37.81

1.2× median

96127Brief emotional/behavioral assessment, per standardized instrumentSee all providers →

$4K

2,368 claims

$1.72

$3.67

0.5×

Normal range

96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$4K

2,368 claims · 0.0%

Your Cost: $1.72/claim|Median: $3.67

0.5× median

H0023Behavioral health outreach service, per 15 minutesSee all providers →

$3K

100 claims

$26.95

$53.97

0.5×

Normal range

H0023Normal range

Behavioral health outreach service, per 15 minutes

$3K

100 claims · 0.0%

Your Cost: $26.95/claim|Median: $53.97

0.5× median

90853Group psychotherapySee all providers →

$625

77 claims

$8.11

$25.02

0.3×

Normal range

90853Normal range

Group psychotherapy

$625

77 claims · 0.0%

Your Cost: $8.11/claim|Median: $25.02

0.3× median

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