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REGION TEN COMMUNITY COMMUNITY SERVICES BOARD

Community/Behavioral Health·CHARLOTTESVILLE, VA·NPI: 1942270699Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $116.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$116.8M

$116,823,819

Total Claims

657K

Beneficiaries

232K

2.8 claims/patient

Avg Cost/Claim

$178

Monthly Spending Trend

Yearly Spending

2018
$21.0M
-2%
2019
$20.6M
-23%
2020
$15.9M
-6%
2021
$15.0M
+1%
2022
$15.2M
-1%
2023
$15.1M
-7%
2024
$13.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 41 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 24% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$27.8M

99K claims · 23.8%

Your Cost: $281.39/claim|Median: $336.31
0.8× median
H0023Top 10%

Behavioral health outreach service, per 15 minutes

$26.2M

79K claims · 22.4%

Your Cost: $332.43/claim|Median: $53.97
6.2× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$12.1M

121K claims · 10.4%

Your Cost: $99.75/claim|Median: $148.53
0.7× median
T1017Top 5%

Targeted case management, per 15 min

$10.7M

31K claims · 9.2%

Your Cost: $344.83/claim|Median: $69.56
5.0× median
H0046Normal range

Mental health services, not otherwise specified

$7.3M

72K claims · 6.2%

Your Cost: $101.72/claim|Median: $85.02
1.2× median
97150Top 1%

Therapeutic procedure, group (2+ patients)

$4.9M

3,689 claims · 4.2%

Your Cost: $1,314.97/claim|Median: $12.12
108.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$4.8M

90K claims · 4.1%

Your Cost: $53.09/claim|Median: $91.63
0.6× median
H0040Normal range

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

$3.2M

18K claims · 2.7%

Your Cost: $179.78/claim|Median: $266.41
0.7× median
H0039Top 25%

Assertive community treatment, per diem

$3.2M

12K claims · 2.7%

Your Cost: $268.80/claim|Median: $132.62
2.0× median
90837Normal range

Psychotherapy, 60 minutes

$3.1M

35K claims · 2.7%

Your Cost: $88.33/claim|Median: $85.66
1.0× median
H2011Top 10%

Crisis intervention service, per 15 minutes

$2.7M

1,972 claims · 2.3%

Your Cost: $1,355.53/claim|Median: $215.80
6.3× median
T2023Normal range

Community transition, waiver; per service

$2.3M

7,392 claims · 1.9%

Your Cost: $305.23/claim|Median: $300.13
1.0× median
H0015Top 10%

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

$1.7M

7,568 claims · 1.5%

Your Cost: $229.22/claim|Median: $129.75
1.8× median
T2022Normal range

Case management, per month

$1.7M

13K claims · 1.4%

Your Cost: $130.95/claim|Median: $202.77
0.6× median
99214Normal range

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

$691K

17K claims · 0.6%

Your Cost: $40.13/claim|Median: $53.41
0.8× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$625K

3,601 claims · 0.5%

Your Cost: $173.55/claim|Median: $369.55
0.5× median
H2018Top 25%

Psychosocial rehabilitation services, per diem

$513K

686 claims · 0.4%

Your Cost: $747.75/claim|Median: $392.63
1.9× median
H0006Top 5%

Alcohol and/or drug services, case management

$505K

2,321 claims · 0.4%

Your Cost: $217.53/claim|Median: $43.10
5.0× median
90791Normal range

Psychiatric diagnostic evaluation

$434K

4,757 claims · 0.4%

Your Cost: $91.32/claim|Median: $99.21
0.9× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$433K

3,241 claims · 0.4%

Your Cost: $133.57/claim|Median: $76.05
1.8× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$385K

1,106 claims · 0.3%

Your Cost: $348.31/claim|Median: $84.12
4.1× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$379K

866 claims · 0.3%

Your Cost: $437.24/claim|Median: $150.51
2.9× median
G9012Normal range

Other specified case management service, per 15 minutes

$197K

929 claims · 0.2%

Your Cost: $211.85/claim|Median: $137.85
1.5× median
G0152Normal range

Occupational therapy services, home health, per visit

$138K

1,507 claims · 0.1%

Your Cost: $91.90/claim|Median: $68.93
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$132K

3,153 claims · 0.1%

Your Cost: $41.89/claim|Median: $41.28
1.0× median
H0032Normal range

Mental health service plan development

$121K

2,237 claims · 0.1%

Your Cost: $54.26/claim|Median: $80.64
0.7× median
90853Normal range

Group psychotherapy

$120K

6,851 claims · 0.1%

Your Cost: $17.50/claim|Median: $25.02
0.7× median
99213Normal range

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

$84K

4,220 claims · 0.1%

Your Cost: $19.90/claim|Median: $37.81
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$83K

1,502 claims · 0.1%

Your Cost: $54.94/claim|Median: $63.65
0.9× median
90889Top 25%

$78K

432 claims · 0.1%

Your Cost: $181.32/claim|Median: $56.63
3.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$77K

1,130 claims · 0.1%

Your Cost: $68.12/claim|Median: $74.63
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$67K

795 claims · 0.1%

Your Cost: $84.11/claim|Median: $74.09
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$43K

4,772 claims · 0.0%

Your Cost: $8.95/claim|Median: $9.56
0.9× median
80305Normal range

$41K

4,752 claims · 0.0%

Your Cost: $8.56/claim|Median: $7.44
1.2× median
T1027Top 25%

Family training and counseling, per 15 minutes

$31K

368 claims · 0.0%

Your Cost: $85.02/claim|Median: $53.00
1.6× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$14K

93 claims · 0.0%

Your Cost: $155.03/claim|Median: $106.70
1.5× median
99204Normal range

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

$2K

30 claims · 0.0%

Your Cost: $63.81/claim|Median: $84.03
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

12 claims · 0.0%

Your Cost: $139.22/claim|Median: $111.09
1.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$1K

21 claims · 0.0%

Your Cost: $60.49/claim|Median: $77.33
0.8× median
90839Normal range

Psychotherapy for crisis, first 60 min

$1K

58 claims · 0.0%

Your Cost: $21.19/claim|Median: $83.98
0.3× median
36415Normal range

Collection of venous blood by venipuncture

$72

43 claims · 0.0%

Your Cost: $1.68/claim|Median: $1.57
1.1× median

Other Top Providers in Virginia

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Virginia Commonwealth University Health System Authority

General Acute Care Hospital

$658.5M

Rector & Visitors of the University of Virginia

General Acute Care Hospital

$500.5M

Wall Residences LLC

Community Based Residential Treatment Facility In

$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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