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SAN MATEO COUNTY

Community/Behavioral Health·REDWOOD CITY, CA·NPI: 1912926692Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $48.2M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-10(82 months)

Total Paid

$48.2M

$48,165,315

Total Claims

123K

Beneficiaries

80K

1.5 claims/patient

Avg Cost/Claim

$392

Monthly Spending Trend

Yearly Spending

2018
$4.0M
+46%
2019
$5.8M
+10%
2020
$6.4M
+2%
2021
$6.5M
+26%
2022
$8.2M
+30%
2023
$10.7M
-39%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H0034 (Medication training and management, per 15 min)) accounts for 25% of total spending.

H0034Top 5%

Medication training and management, per 15 min

$11.9M

28K claims · 24.8%

Your Cost: $419.28/claim|Median: $56.90
7.4× median
H2010Top 10%

Comprehensive medication services, per 15 min

$11.5M

27K claims · 23.9%

Your Cost: $420.22/claim|Median: $62.69
6.7× median
H2015Top 5%

Comprehensive community support services, per 15 min

$7.9M

16K claims · 16.4%

Your Cost: $495.52/claim|Median: $96.24
5.1× median
T1017Top 25%

Targeted case management, per 15 min

$5.0M

24K claims · 10.5%

Your Cost: $206.99/claim|Median: $69.56
3.0× median
H2017Top 5%

Psychosocial rehabilitation services, per 15 min

$3.5M

9,455 claims · 7.2%

Your Cost: $367.90/claim|Median: $91.63
4.0× median
H0032Top 5%

Mental health service plan development

$1.4M

4,843 claims · 3.0%

Your Cost: $296.70/claim|Median: $80.64
3.7× median
90837Top 1%

Psychotherapy, 60 minutes

$1.2M

1,950 claims · 2.4%

Your Cost: $603.58/claim|Median: $85.66
7.0× median
H0031Top 5%

Mental health assessment by non-physician

$1.2M

3,185 claims · 2.4%

Your Cost: $367.25/claim|Median: $96.18
3.8× median
99215Top 1%

Office/outpatient visit, high complexity

$1.1M

780 claims · 2.3%

Your Cost: $1,408.45/claim|Median: $74.09
19.0× median
99214Top 1%

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

$739K

670 claims · 1.5%

Your Cost: $1,103.06/claim|Median: $53.41
20.7× median
99213Top 1%

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

$718K

898 claims · 1.5%

Your Cost: $800.11/claim|Median: $37.81
21.2× median
G2212Top 25%

Prolonged office/outpatient E/M, each additional 15 min

$509K

1,010 claims · 1.1%

Your Cost: $503.81/claim|Median: $72.96
6.9× median
99212Top 1%

Office/outpatient visit, low complexity

$452K

941 claims · 0.9%

Your Cost: $479.85/claim|Median: $25.06
19.1× median
90834Top 1%

Psychotherapy, 45 minutes

$358K

862 claims · 0.7%

Your Cost: $414.80/claim|Median: $63.65
6.5× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$275K

1,226 claims · 0.6%

Your Cost: $223.94/claim|Median: $9.56
23.4× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$117K

212 claims · 0.2%

Your Cost: $552.21/claim|Median: $108.91
5.1× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$95K

165 claims · 0.2%

Your Cost: $574.83/claim|Median: $215.80
2.7× median
90832Top 1%

Psychotherapy, 30 minutes

$84K

266 claims · 0.2%

Your Cost: $316.68/claim|Median: $41.28
7.7× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$44K

63 claims · 0.1%

Your Cost: $697.34/claim|Median: $150.51
4.6× median
T2024Top 1%

Supported employment, waiver, per diem

$32K

12 claims · 0.1%

Your Cost: $2,643.22/claim|Median: $259.38
10.2× median
90885Top 25%

$22K

150 claims · 0.0%

Your Cost: $146.92/claim|Median: $59.45
2.5× median