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RUTGERS HEALTH - UNIVERSITY BEHAVIORAL HEALTH CARE

Psychiatric Hospital·PISCATAWAY, NJ·NPI: 1942217054Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$110.2M

$110,158,655

Total Claims

542K

Beneficiaries

250K

2.2 claims/patient

Avg Cost/Claim

$203

Monthly Spending Trend

Yearly Spending

2018
$19.9M
-6%
2019
$18.7M
+1%
2020
$18.9M
-1%
2021
$18.7M
-29%
2022
$13.3M
-14%
2023
$11.5M
-21%
2024
$9.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H0035 (Mental health partial hospitalization, treatment, per hour)) accounts for 63% of total spending.

H0035Top 25%

Mental health partial hospitalization, treatment, per hour

$69.9M

232K claims · 63.5%

Your Cost: $301.26/claim|Median: $148.53
2.0× median
S9480Top 10%

Intensive outpatient psychiatric services, per diem

$11.4M

16K claims · 10.3%

Your Cost: $691.17/claim|Median: $135.70
5.1× median
T2034Normal range

Crisis intervention, per 15 min

$6.0M

6,963 claims · 5.4%

Your Cost: $856.73/claim|Median: $254.45
3.4× median
90832Top 25%

Psychotherapy, 30 minutes

$5.5M

88K claims · 5.0%

Your Cost: $62.16/claim|Median: $41.28
1.5× median
99214Top 25%

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

$3.8M

44K claims · 3.5%

Your Cost: $87.36/claim|Median: $53.41
1.6× median
90837Top 25%

Psychotherapy, 60 minutes

$2.7M

22K claims · 2.4%

Your Cost: $118.88/claim|Median: $85.66
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2.3M

18K claims · 2.1%

Your Cost: $128.43/claim|Median: $108.91
1.2× median
99213Top 10%

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

$2.0M

24K claims · 1.8%

Your Cost: $83.20/claim|Median: $37.81
2.2× median
90853Top 25%

Group psychotherapy

$1.2M

29K claims · 1.1%

Your Cost: $43.01/claim|Median: $25.02
1.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$1.2M

9,265 claims · 1.1%

Your Cost: $128.54/claim|Median: $99.21
1.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$1.1M

17K claims · 1.0%

Your Cost: $65.76/claim|Median: $77.33
0.9× median
J2426Normal range

$744K

911 claims · 0.7%

Your Cost: $816.75/claim|Median: $625.59
1.3× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$641K

11K claims · 0.6%

Your Cost: $57.33/claim|Median: $9.56
6.0× median
G0463Normal range

Hospital outpatient clinic visit

$415K

9,827 claims · 0.4%

Your Cost: $42.19/claim|Median: $26.41
1.6× median
J0401Normal range

$363K

434 claims · 0.3%

Your Cost: $836.59/claim|Median: $714.38
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$290K

2,342 claims · 0.3%

Your Cost: $123.73/claim|Median: $74.09
1.7× median
99212Top 10%

Office/outpatient visit, low complexity

$253K

3,028 claims · 0.2%

Your Cost: $83.48/claim|Median: $25.06
3.3× median
99282Top 10%

Emergency dept visit, low complexity

$116K

680 claims · 0.1%

Your Cost: $170.76/claim|Median: $37.72
4.5× median
J2794Normal range

Injection, risperidone, long-acting, per half milligram

$106K

334 claims · 0.1%

Your Cost: $317.88/claim|Median: $242.01
1.3× median
90846Normal range

Family psychotherapy without patient, 50 min

$38K

551 claims · 0.0%

Your Cost: $69.52/claim|Median: $76.61
0.9× median
J1631Top 25%

$34K

927 claims · 0.0%

Your Cost: $36.69/claim|Median: $15.34
2.4× median
99283Top 5%

Emergency dept visit, moderate complexity

$33K

161 claims · 0.0%

Your Cost: $201.89/claim|Median: $42.48
4.8× median
90834Normal range

Psychotherapy, 45 minutes

$31K

825 claims · 0.0%

Your Cost: $37.97/claim|Median: $63.65
0.6× median
Q3014Normal range

Telehealth originating site facility fee

$16K

3,516 claims · 0.0%

Your Cost: $4.63/claim|Median: $15.37
0.3× median
99281Top 10%

Emergency dept visit, minimal complexity

$13K

76 claims · 0.0%

Your Cost: $172.29/claim|Median: $52.03
3.3× median
S9484Normal range

Crisis intervention mental health services, per hour

$6K

56 claims · 0.0%

Your Cost: $112.32/claim|Median: $249.51
0.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$3K

355 claims · 0.0%

Your Cost: $8.26/claim|Median: $35.43
0.2× median
99204Normal range

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

$1K

16 claims · 0.0%

Your Cost: $65.82/claim|Median: $84.03
0.8× median