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GUILD

Community/Behavioral Health·SAINT PAUL, MN·NPI: 1861514945Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$44.6M

$44,582,899

Total Claims

215K

Beneficiaries

83K

2.6 claims/patient

Avg Cost/Claim

$208

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+179%
2019
$6.8M
-0%
2020
$6.8M
-4%
2021
$6.6M
+21%
2022
$7.9M
-6%
2023
$7.5M
-13%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 44% of total spending.

H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$19.8M

119K claims · 44.4%

Your Cost: $166.27/claim|Median: $266.41
0.6× median
T2023Normal range

Community transition, waiver; per service

$15.2M

40K claims · 34.2%

Your Cost: $381.81/claim|Median: $300.13
1.3× median
H0019Normal range

Behavioral health; residential, per diem

$4.7M

9,234 claims · 10.6%

Your Cost: $512.37/claim|Median: $357.16
1.4× median
S0281Top 25%

$2.7M

13K claims · 6.1%

Your Cost: $214.03/claim|Median: $92.97
2.3× median
G9002Normal range

Coordinated care fee, maintenance period

$1.3M

14K claims · 2.9%

Your Cost: $92.24/claim|Median: $108.80
0.8× median
H0018Normal range

Behavioral health; short-term residential, per diem

$439K

823 claims · 1.0%

Your Cost: $533.93/claim|Median: $467.51
1.1× median
S0280Top 5%

Medical home program, comprehensive care management

$245K

823 claims · 0.5%

Your Cost: $297.32/claim|Median: $48.38
6.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$80K

1,738 claims · 0.2%

Your Cost: $45.82/claim|Median: $96.24
0.5× median
H0046Normal range

Mental health services, not otherwise specified

$60K

6,285 claims · 0.1%

Your Cost: $9.55/claim|Median: $85.02
0.1× median
H0043Normal range

Supported housing, per diem

$0

10K claims · 0.0%

Your Cost: $0.00/claim|Median: $164.87