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COUNTY OF MARIN

Community/Behavioral Health·SAN RAFAEL, CA·NPI: 1912116252Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.6M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-10(80 months)

Total Paid

$23.6M

$23,573,815

Total Claims

185K

Beneficiaries

42K

4.4 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+15%
2019
$3.7M
+8%
2020
$3.9M
-23%
2021
$3.0M
+12%
2022
$3.4M
+37%
2023
$4.7M
-64%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 19% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$4.4M

31K claims · 18.6%

Your Cost: $140.00/claim|Median: $357.16
0.4× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$4.0M

35K claims · 17.1%

Your Cost: $115.52/claim|Median: $74.63
1.5× median
H0020Top 5%

Alcohol/drug services; methadone administration

$4.0M

18K claims · 16.8%

Your Cost: $214.85/claim|Median: $18.95
11.3× median
H0012Normal range

$3.7M

23K claims · 15.7%

Your Cost: $162.70/claim|Median: $295.95
0.5× median
H0005Top 5%

Alcohol and/or drug services, group counseling

$2.7M

28K claims · 11.5%

Your Cost: $96.22/claim|Median: $47.35
2.0× median
H0006Top 10%

Alcohol and/or drug services, case management

$2.4M

14K claims · 10.1%

Your Cost: $169.42/claim|Median: $43.10
3.9× median
H2015Top 5%

Comprehensive community support services, per 15 min

$726K

1,190 claims · 3.1%

Your Cost: $609.92/claim|Median: $96.24
6.3× median
H0015Normal range

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

$683K

6,114 claims · 2.9%

Your Cost: $111.72/claim|Median: $129.75
0.9× median
S5000Top 25%

Prescription drug, generic

$655K

26K claims · 2.8%

Your Cost: $25.20/claim|Median: $7.47
3.4× median
T1017Top 5%

Targeted case management, per 15 min

$169K

389 claims · 0.7%

Your Cost: $435.38/claim|Median: $69.56
6.3× median
H0014Normal range

$59K

1,305 claims · 0.3%

Your Cost: $45.43/claim|Median: $137.81
0.3× median
H0050Top 25%

$35K

353 claims · 0.1%

Your Cost: $98.18/claim|Median: $46.71
2.1× median
G0397Top 10%

$30K

88 claims · 0.1%

Your Cost: $342.77/claim|Median: $142.31
2.4× median
99368Top 1%

$17K

23 claims · 0.1%

Your Cost: $744.90/claim|Median: $19.67
37.9× median
T2024Top 25%

Supported employment, waiver, per diem

$8K

12 claims · 0.0%

Your Cost: $689.04/claim|Median: $259.38
2.7× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$6K

39 claims · 0.0%

Your Cost: $151.67/claim|Median: $91.63
1.7× median
H2021Normal range

Community-based wrap-around services, per 15 min

$5K

40 claims · 0.0%

Your Cost: $114.31/claim|Median: $169.11
0.7× median