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WESTERN MONTANA MENTAL HEALTH CENTER

Clinic/Center, Mental Health (Including Community Mental Health Center)·MISSOULA, MT·NPI: 1912079328Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $87.9M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$87.9M

$87,855,953

Total Claims

492K

Beneficiaries

192K

2.6 claims/patient

Avg Cost/Claim

$179

Monthly Spending Trend

Yearly Spending

2018
$13.8M
-6%
2019
$12.9M
+2%
2020
$13.3M
-2%
2021
$12.9M
-9%
2022
$11.8M
-3%
2023
$11.5M
+0%
2024
$11.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 27% of total spending.

H0040Normal range

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

$23.9M

55K claims · 27.2%

Your Cost: $435.99/claim|Median: $266.41
1.6× median
S5102Top 1%

Day care services, adult; per 15 min

$18.9M

15K claims · 21.5%

Your Cost: $1,285.34/claim|Median: $81.10
15.8× median
S9485Top 25%

Crisis intervention mental health services, per diem

$9.8M

10K claims · 11.2%

Your Cost: $958.47/claim|Median: $501.33
1.9× median
T2016Top 25%

Habilitation, residential, waiver; per diem

$4.5M

2,992 claims · 5.1%

Your Cost: $1,498.73/claim|Median: $331.94
4.5× median
90837Normal range

Psychotherapy, 60 minutes

$4.3M

53K claims · 4.9%

Your Cost: $79.90/claim|Median: $85.66
0.9× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$4.0M

15K claims · 4.5%

Your Cost: $260.19/claim|Median: $225.50
1.2× median
99214Top 25%

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

$3.7M

40K claims · 4.2%

Your Cost: $92.39/claim|Median: $53.41
1.7× median
T1016Normal range

Case management, each 15 min

$3.3M

70K claims · 3.8%

Your Cost: $47.47/claim|Median: $49.62
1.0× median
H2012Normal range

Behavioral health day treatment, per hour

$3.1M

85K claims · 3.5%

Your Cost: $36.21/claim|Median: $137.86
0.3× median
H0018Normal range

Behavioral health; short-term residential, per diem

$3.0M

2,134 claims · 3.4%

Your Cost: $1,414.57/claim|Median: $467.51
3.0× median
S5140Top 25%

Foster care, adult; per diem

$1.5M

1,086 claims · 1.7%

Your Cost: $1,401.90/claim|Median: $252.32
5.6× median
H2034Top 25%

Alcohol and/or drug abuse halfway house services, per hour

$1.3M

1,729 claims · 1.4%

Your Cost: $727.16/claim|Median: $164.03
4.4× median
90791Normal range

Psychiatric diagnostic evaluation

$910K

10K claims · 1.0%

Your Cost: $87.81/claim|Median: $99.21
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$907K

24K claims · 1.0%

Your Cost: $37.71/claim|Median: $41.28
0.9× median
90839Normal range

Psychotherapy for crisis, first 60 min

$707K

9,950 claims · 0.8%

Your Cost: $71.09/claim|Median: $83.98
0.8× median
99215Top 25%

Office/outpatient visit, high complexity

$591K

4,197 claims · 0.7%

Your Cost: $140.80/claim|Median: $74.09
1.9× median
90834Normal range

Psychotherapy, 45 minutes

$538K

10K claims · 0.6%

Your Cost: $52.45/claim|Median: $63.65
0.8× median
90853Normal range

Group psychotherapy

$421K

25K claims · 0.5%

Your Cost: $17.17/claim|Median: $25.02
0.7× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$376K

18K claims · 0.4%

Your Cost: $20.63/claim|Median: $84.12
0.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$321K

1,830 claims · 0.4%

Your Cost: $175.34/claim|Median: $111.09
1.6× median
99213Top 25%

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

$299K

5,485 claims · 0.3%

Your Cost: $54.52/claim|Median: $37.81
1.4× median
H0015Top 10%

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

$172K

608 claims · 0.2%

Your Cost: $282.85/claim|Median: $129.75
2.2× median
H2020Top 10%

Day habilitation, waiver, per 15 minutes

$161K

374 claims · 0.2%

Your Cost: $430.26/claim|Median: $144.05
3.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$154K

2,145 claims · 0.2%

Your Cost: $71.94/claim|Median: $77.33
0.9× median
99223Top 10%

Initial hospital care, per day, high complexity

$140K

983 claims · 0.2%

Your Cost: $142.49/claim|Median: $67.32
2.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$122K

10K claims · 0.1%

Your Cost: $12.10/claim|Median: $12.93
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$118K

3,165 claims · 0.1%

Your Cost: $37.22/claim|Median: $55.04
0.7× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$77K

1,430 claims · 0.1%

Your Cost: $53.96/claim|Median: $94.63
0.6× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$71K

1,143 claims · 0.1%

Your Cost: $62.22/claim|Median: $23.99
2.6× median
H2036Normal range

Alcohol/drug treatment, per hour

$70K

324 claims · 0.1%

Your Cost: $215.36/claim|Median: $253.79
0.8× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$56K

2,571 claims · 0.1%

Your Cost: $21.75/claim|Median: $91.63
0.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$49K

739 claims · 0.1%

Your Cost: $66.64/claim|Median: $35.30
1.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$49K

361 claims · 0.1%

Your Cost: $134.56/claim|Median: $108.91
1.2× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$48K

343 claims · 0.1%

Your Cost: $139.15/claim|Median: $84.03
1.7× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$44K

373 claims · 0.0%

Your Cost: $116.88/claim|Median: $51.25
2.3× median
S9484Normal range

Crisis intervention mental health services, per hour

$38K

1,571 claims · 0.0%

Your Cost: $24.14/claim|Median: $249.51
0.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$37K

754 claims · 0.0%

Your Cost: $48.60/claim|Median: $38.83
1.3× median
90846Normal range

Family psychotherapy without patient, 50 min

$35K

503 claims · 0.0%

Your Cost: $69.52/claim|Median: $76.61
0.9× median
H0001Top 5%

Alcohol and/or drug assessment

$26K

98 claims · 0.0%

Your Cost: $266.94/claim|Median: $94.22
2.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$23K

464 claims · 0.0%

Your Cost: $48.85/claim|Median: $74.63
0.7× median
90840Normal range

Psychotherapy for crisis, each additional 30 min

$20K

410 claims · 0.0%

Your Cost: $48.21/claim|Median: $50.71
1.0× median
98968Normal range

$19K

826 claims · 0.0%

Your Cost: $22.98/claim|Median: $28.39
0.8× median
H0012Normal range

$8K

67 claims · 0.0%

Your Cost: $118.29/claim|Median: $295.95
0.4× median
Q3014Normal range

Telehealth originating site facility fee

$5K

329 claims · 0.0%

Your Cost: $15.16/claim|Median: $15.37
1.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$5K

274 claims · 0.0%

Your Cost: $16.52/claim|Median: $32.55
0.5× median
99221Normal range

Initial hospital care, straightforward/low

$4K

85 claims · 0.0%

Your Cost: $42.33/claim|Median: $39.96
1.1× median
98967Normal range

$2K

85 claims · 0.0%

Your Cost: $18.21/claim|Median: $18.97
1.0× median
98966Normal range

$373

41 claims · 0.0%

Your Cost: $9.09/claim|Median: $6.84
1.3× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$0

1,158 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.05
90899Normal range

Unlisted psychiatric service/procedure

$0

407 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.72