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

PSYCHIATRIC SERVICES OF EAST TENNESSEE

Substance Abuse Rehabilitation Facility·ATHENS, TN·NPI: 1871658757Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.2M is at the 25th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2018-022024-07(64 months)

Total Paid

$24.2M

$24,181,871

Total Claims

175K

Beneficiaries

25K

6.9 claims/patient

Avg Cost/Claim

$138

Monthly Spending Trend

Yearly Spending

2018
$4K
+1799%
2019
$83K
+1705%
2020
$1.5M
+210%
2021
$4.6M
+56%
2022
$7.2M
+19%
2023
$8.6M
-74%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H0035 (Mental health partial hospitalization, treatment, per hour)) accounts for 67% of total spending.

H0035Normal range

Mental health partial hospitalization, treatment, per hour

$16.1M

88K claims · 66.7%

Your Cost: $183.23/claim|Median: $148.53
1.2× median
H0015Normal range

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

$5.6M

67K claims · 23.3%

Your Cost: $83.56/claim|Median: $129.75
0.6× median
H0014Top 25%

$1.2M

4,118 claims · 4.8%

Your Cost: $283.59/claim|Median: $137.81
2.1× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$1.2M

5,255 claims · 4.8%

Your Cost: $220.57/claim|Median: $182.66
1.2× median
80305Normal range

$72K

9,060 claims · 0.3%

Your Cost: $7.98/claim|Median: $7.44
1.1× median
80306Normal range

$8K

553 claims · 0.0%

Your Cost: $14.26/claim|Median: $10.29
1.4× median
81025Normal range

Urine pregnancy test

$4K

794 claims · 0.0%

Your Cost: $5.51/claim|Median: $4.81
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$4K

88 claims · 0.0%

Your Cost: $41.70/claim|Median: $63.65
0.7× median
H0033Top 25%

Oral medication administration, direct observation

$3K

20 claims · 0.0%

Your Cost: $152.00/claim|Median: $31.37
4.8× median
90832Normal range

Psychotherapy, 30 minutes

$677

20 claims · 0.0%

Your Cost: $33.84/claim|Median: $41.28
0.8× median