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THE NEW Y CAPP INC

Community/Behavioral Health·RICHMOND, VA·NPI: 1861560047Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$47.0M

$46,951,020

Total Claims

91K

Beneficiaries

19K

4.8 claims/patient

Avg Cost/Claim

$516

Monthly Spending Trend

Yearly Spending

2018
$5.4M
-47%
2019
$2.9M
-29%
2020
$2.0M
+129%
2021
$4.7M
+217%
2022
$14.8M
-23%
2023
$11.4M
-50%
2024
$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (S9482 (Family stabilization services, per 15 minutes)) accounts for 37% of total spending.

S9482Top 10%

Family stabilization services, per 15 minutes

$17.4M

6,307 claims · 37.2%

Your Cost: $2,766.22/claim|Median: $625.59
4.4× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$7.6M

49K claims · 16.1%

Your Cost: $154.75/claim|Median: $148.53
1.0× median
S0201Normal range

Partial hospitalization services, per diem

$6.0M

12K claims · 12.7%

Your Cost: $483.74/claim|Median: $445.16
1.1× median
H2011Top 5%

Crisis intervention service, per 15 minutes

$5.9M

2,603 claims · 12.6%

Your Cost: $2,279.02/claim|Median: $215.80
10.6× median
S9485Top 25%

Crisis intervention mental health services, per diem

$3.4M

4,028 claims · 7.2%

Your Cost: $834.38/claim|Median: $501.33
1.7× median
H2019Top 1%

Therapeutic behavioral services, per 15 min

$3.3M

3,252 claims · 7.1%

Your Cost: $1,024.29/claim|Median: $84.12
12.2× median
H0015Top 10%

Alcohol and/or drug abuse, intensive outpatient, per hour

$1.6M

6,373 claims · 3.5%

Your Cost: $254.28/claim|Median: $129.75
2.0× median
H0046Top 25%

Mental health services, not otherwise specified

$1.3M

4,306 claims · 2.8%

Your Cost: $302.99/claim|Median: $85.02
3.6× median
H2012Top 25%

Behavioral health day treatment, per hour

$262K

1,221 claims · 0.6%

Your Cost: $214.68/claim|Median: $137.86
1.6× median
H2018Top 25%

Psychosocial rehabilitation services, per diem

$53K

70 claims · 0.1%

Your Cost: $750.24/claim|Median: $392.63
1.9× median
H0006Top 5%

Alcohol and/or drug services, case management

$41K

196 claims · 0.1%

Your Cost: $210.77/claim|Median: $43.10
4.9× median
H0032Normal range

Mental health service plan development

$24K

756 claims · 0.1%

Your Cost: $31.25/claim|Median: $80.64
0.4× median
99213Normal range

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

$21K

509 claims · 0.0%

Your Cost: $42.09/claim|Median: $37.81
1.1× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$3K

16 claims · 0.0%

Your Cost: $162.76/claim|Median: $108.91
1.5× median
T1012Normal range

Alcohol/drug services, skills development

$758

40 claims · 0.0%

Your Cost: $18.95/claim|Median: $40.78
0.5× median