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NEIGHBORHOOD SERVICE ORGANIZATION

Community/Behavioral Health·DETROIT, MI·NPI: 1891825808Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $60.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$60.8M

$60,838,943

Total Claims

304K

Beneficiaries

209K

1.5 claims/patient

Avg Cost/Claim

$200

Monthly Spending Trend

Yearly Spending

2018
$9.1M
+1%
2019
$9.2M
+15%
2020
$10.6M
-19%
2021
$8.6M
+4%
2022
$9.0M
-29%
2023
$6.4M
+26%
2024
$8.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 41 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 39% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$23.5M

105K claims · 38.7%

Your Cost: $224.12/claim|Median: $69.56
3.2× median
T1016Top 10%

Case management, each 15 min

$23.4M

72K claims · 38.5%

Your Cost: $324.17/claim|Median: $49.62
6.5× median
H0032Top 25%

Mental health service plan development

$3.4M

23K claims · 5.6%

Your Cost: $147.18/claim|Median: $80.64
1.8× median
90837Top 5%

Psychotherapy, 60 minutes

$3.2M

20K claims · 5.2%

Your Cost: $160.82/claim|Median: $85.66
1.9× median
H0031Normal range

Mental health assessment by non-physician

$2.0M

14K claims · 3.3%

Your Cost: $146.17/claim|Median: $96.18
1.5× median
99213Top 5%

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

$986K

11K claims · 1.6%

Your Cost: $88.37/claim|Median: $37.81
2.3× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$696K

3,143 claims · 1.1%

Your Cost: $221.32/claim|Median: $108.91
2.0× median
99214Top 25%

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

$693K

7,425 claims · 1.1%

Your Cost: $93.33/claim|Median: $53.41
1.7× median
90832Top 25%

Psychotherapy, 30 minutes

$591K

8,975 claims · 1.0%

Your Cost: $65.87/claim|Median: $41.28
1.6× median
90834Top 10%

Psychotherapy, 45 minutes

$448K

3,798 claims · 0.7%

Your Cost: $117.97/claim|Median: $63.65
1.9× median
H2014Normal range

Skills training & development, per 15 min

$289K

9,561 claims · 0.5%

Your Cost: $30.27/claim|Median: $83.88
0.4× median
97530Top 5%

Therapeutic activities, each 15 min

$274K

2,332 claims · 0.4%

Your Cost: $117.35/claim|Median: $33.11
3.5× median
0365TTop 25%

Adaptive behavior treatment, each additional thirty minutes

$206K

1,288 claims · 0.3%

Your Cost: $159.64/claim|Median: $106.05
1.5× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$203K

1,861 claims · 0.3%

Your Cost: $109.00/claim|Median: $49.05
2.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$147K

6,483 claims · 0.2%

Your Cost: $22.68/claim|Median: $55.04
0.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$128K

6,208 claims · 0.2%

Your Cost: $20.60/claim|Median: $9.56
2.2× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$87K

893 claims · 0.1%

Your Cost: $97.17/claim|Median: $114.71
0.8× median
90847Top 25%

Family psychotherapy with patient, 50 min

$86K

789 claims · 0.1%

Your Cost: $108.39/claim|Median: $77.33
1.4× median
S9445Top 25%

$80K

1,348 claims · 0.1%

Your Cost: $59.40/claim|Median: $12.72
4.7× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$58K

904 claims · 0.1%

Your Cost: $64.00/claim|Median: $14.00
4.6× median
90791Top 10%

Psychiatric diagnostic evaluation

$50K

255 claims · 0.1%

Your Cost: $194.26/claim|Median: $99.21
2.0× median
99310Top 5%

$48K

569 claims · 0.1%

Your Cost: $84.92/claim|Median: $21.82
3.9× median
0364TTop 25%

$36K

1,290 claims · 0.1%

Your Cost: $28.00/claim|Median: $21.31
1.3× median
96101Normal range

$32K

140 claims · 0.1%

Your Cost: $228.14/claim|Median: $196.08
1.2× median
90887Normal range

Interpretation/explanation of results

$31K

473 claims · 0.1%

Your Cost: $65.16/claim|Median: $47.55
1.4× median
G9006Normal range

Coordination of long-term care services, per hour

$30K

427 claims · 0.0%

Your Cost: $69.25/claim|Median: $204.93
0.3× median
96110Top 5%

Developmental screening, per standardized instrument

$26K

233 claims · 0.0%

Your Cost: $112.15/claim|Median: $9.10
12.3× median
0369TTop 25%

$21K

126 claims · 0.0%

Your Cost: $167.62/claim|Median: $102.36
1.6× median
97110Top 10%

Therapeutic exercises, each 15 min

$18K

258 claims · 0.0%

Your Cost: $70.54/claim|Median: $24.49
2.9× median
G9004Top 10%

$17K

137 claims · 0.0%

Your Cost: $123.18/claim|Median: $55.49
2.2× median
0368TTop 25%

$8K

126 claims · 0.0%

Your Cost: $60.00/claim|Median: $44.63
1.3× median
0370TTop 10%

$6K

52 claims · 0.0%

Your Cost: $120.00/claim|Median: $88.49
1.4× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$4K

84 claims · 0.0%

Your Cost: $48.88/claim|Median: $22.44
2.2× median
99215Top 25%

Office/outpatient visit, high complexity

$4K

26 claims · 0.0%

Your Cost: $145.00/claim|Median: $74.09
2.0× median
97167Top 5%

OT evaluation, high complexity

$3K

12 claims · 0.0%

Your Cost: $236.29/claim|Median: $70.96
3.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1K

33 claims · 0.0%

Your Cost: $43.32/claim|Median: $215.80
0.2× median
96130Normal range

Psychological testing evaluation by professional, first hour

$1K

13 claims · 0.0%

Your Cost: $90.00/claim|Median: $79.21
1.1× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$1K

21 claims · 0.0%

Your Cost: $51.97/claim|Median: $92.96
0.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$999

19 claims · 0.0%

Your Cost: $52.56/claim|Median: $32.55
1.6× median
96136Top 25%

Psychological/neuropsychological testing, first 30 min

$695

14 claims · 0.0%

Your Cost: $49.61/claim|Median: $30.49
1.6× median
90853Normal range

Group psychotherapy

$546

14 claims · 0.0%

Your Cost: $38.98/claim|Median: $25.02
1.6× median