Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

CHOICES BEHAVIORAL HEALTH CARE

Community/Behavioral Health·TOLEDO, OH·NPI: 1851729800Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $45.1M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$45.1M

$45,147,264

Total Claims

306K

Beneficiaries

85K

3.6 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+230%
2019
$3.6M
-7%
2020
$3.4M
+30%
2021
$4.4M
+57%
2022
$6.9M
+64%
2023
$11.3M
+28%
2024
$14.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2020 (Day habilitation, waiver, per 15 minutes)) accounts for 64% of total spending.

H2020Normal range

Day habilitation, waiver, per 15 minutes

$28.7M

160K claims · 63.5%

Your Cost: $178.82/claim|Median: $144.05
1.2× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$7.9M

47K claims · 17.6%

Your Cost: $167.85/claim|Median: $84.12
2.0× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$4.2M

57K claims · 9.4%

Your Cost: $74.06/claim|Median: $76.05
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.9M

16K claims · 4.2%

Your Cost: $117.71/claim|Median: $91.63
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$1.8M

18K claims · 4.0%

Your Cost: $99.74/claim|Median: $85.66
1.2× median
99214Top 5%

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

$193K

1,611 claims · 0.4%

Your Cost: $119.99/claim|Median: $53.41
2.2× median
90834Normal range

Psychotherapy, 45 minutes

$141K

2,122 claims · 0.3%

Your Cost: $66.46/claim|Median: $63.65
1.0× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$102K

797 claims · 0.2%

Your Cost: $128.34/claim|Median: $74.63
1.7× median
90791Normal range

Psychiatric diagnostic evaluation

$80K

723 claims · 0.2%

Your Cost: $110.49/claim|Median: $99.21
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$42K

804 claims · 0.1%

Your Cost: $52.08/claim|Median: $41.28
1.3× median
H2012Normal range

Behavioral health day treatment, per hour

$39K

676 claims · 0.1%

Your Cost: $58.05/claim|Median: $137.86
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$13K

734 claims · 0.0%

Your Cost: $17.70/claim|Median: $12.93
1.4× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$8K

33 claims · 0.0%

Your Cost: $236.92/claim|Median: $111.09
2.1× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$6K

34 claims · 0.0%

Your Cost: $188.51/claim|Median: $84.03
2.2× median
99213Top 10%

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

$1K

13 claims · 0.0%

Your Cost: $82.85/claim|Median: $37.81
2.2× median