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OMNI COMMUNITY HEALTH, INC.

Community/Behavioral Health·KNOXVILLE, TN·NPI: 1881024172Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $77.7M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$77.7M

$77,682,550

Total Claims

1.2M

Beneficiaries

860K

1.4 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$4.4M
-22%
2019
$3.4M
+116%
2020
$7.3M
+101%
2021
$14.7M
+12%
2022
$16.5M
-6%
2023
$15.5M
+2%
2024
$15.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 32 distinct procedure codes. The top code (S0280 (Medical home program, comprehensive care management)) accounts for 64% of total spending.

S0280Normal range

Medical home program, comprehensive care management

$49.4M

317K claims · 63.6%

Your Cost: $156.05/claim|Median: $48.38
3.2× median
H0036Top 1%

Community psychiatric supportive treatment, per 15 min

$5.8M

1,503 claims · 7.5%

Your Cost: $3,861.63/claim|Median: $76.05
50.8× median
T1041Top 1%

Medicaid CCBHC services, per diem

$3.5M

741 claims · 4.5%

Your Cost: $4,683.11/claim|Median: $913.47
5.1× median
90837Normal range

Psychotherapy, 60 minutes

$3.0M

39K claims · 3.8%

Your Cost: $75.68/claim|Median: $85.66
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$2.9M

62K claims · 3.8%

Your Cost: $46.98/claim|Median: $63.65
0.7× median
99214Normal range

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

$2.8M

72K claims · 3.6%

Your Cost: $38.52/claim|Median: $53.41
0.7× median
G9002Top 25%

Coordinated care fee, maintenance period

$2.1M

13K claims · 2.8%

Your Cost: $163.44/claim|Median: $108.80
1.5× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$1.7M

18K claims · 2.2%

Your Cost: $95.58/claim|Median: $225.50
0.4× median
90847Normal range

Family psychotherapy with patient, 50 min

$1.3M

22K claims · 1.7%

Your Cost: $58.43/claim|Median: $77.33
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$1.2M

36K claims · 1.5%

Your Cost: $33.14/claim|Median: $41.28
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$1.1M

16K claims · 1.4%

Your Cost: $66.91/claim|Median: $99.21
0.7× median
99213Normal range

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

$856K

26K claims · 1.1%

Your Cost: $32.73/claim|Median: $37.81
0.9× median
T2022Normal range

Case management, per month

$801K

3,701 claims · 1.0%

Your Cost: $216.35/claim|Median: $202.77
1.1× median
H0043Normal range

Supported housing, per diem

$787K

16K claims · 1.0%

Your Cost: $49.73/claim|Median: $164.87
0.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$384K

6,541 claims · 0.5%

Your Cost: $58.76/claim|Median: $108.91
0.5× median
90846Normal range

Family psychotherapy without patient, 50 min

$35K

648 claims · 0.0%

Your Cost: $53.78/claim|Median: $76.61
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$11K

333 claims · 0.0%

Your Cost: $33.18/claim|Median: $25.06
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$9K

273 claims · 0.0%

Your Cost: $34.06/claim|Median: $74.09
0.5× median
90785Normal range

$3K

1,081 claims · 0.0%

Your Cost: $2.95/claim|Median: $6.43
0.5× median
36415Normal range

Collection of venous blood by venipuncture

$572

371 claims · 0.0%

Your Cost: $1.54/claim|Median: $1.57
1.0× median
G9010Normal range

$177

220K claims · 0.0%

Your Cost: $0.00/claim|Median: $1,009.60
0.0× median
3008FNormal range

$160

10K claims · 0.0%

Your Cost: $0.02/claim|Median: $0.06
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$114

39 claims · 0.0%

Your Cost: $2.93/claim|Median: $9.56
0.3× median
3080FTop 25%

$60

28 claims · 0.0%

Your Cost: $2.14/claim|Median: $0.16
13.4× median
82947Normal range

Blood glucose level test

$55

59 claims · 0.0%

Your Cost: $0.94/claim|Median: $2.38
0.4× median
81000Normal range

Urinalysis with microscopy, non-automated

$44

113 claims · 0.0%

Your Cost: $0.39/claim|Median: $2.51
0.2× median
80061Normal range

Lipid panel

$23

59 claims · 0.0%

Your Cost: $0.40/claim|Median: $8.41
0.0× median
G9011Normal range

$0

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $39.92
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$0

224K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.08
G9004Normal range

$0

79K claims · 0.0%

Your Cost: $0.00/claim|Median: $55.49
G9007Normal range

$0

15K claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44
G9006Normal range

Coordination of long-term care services, per hour

$0

14K claims · 0.0%

Your Cost: $0.00/claim|Median: $204.93

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$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

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$1.45B

Tennessee Department of Children's Services

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$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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