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NORTHWEST ESSEX COMMUNITY HEALTHCARE

Community/Behavioral Health·BELLEVILLE, NJ·NPI: 1942749429Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.5M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$23.5M

$23,478,920

Total Claims

105K

Beneficiaries

74K

1.4 claims/patient

Avg Cost/Claim

$225

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+15%
2019
$2.8M
+14%
2020
$3.1M
+15%
2021
$3.6M
+11%
2022
$4.0M
+1%
2023
$4.0M
-13%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 31 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 100% of total spending.

T1041Normal range

Medicaid CCBHC services, per diem

$23.5M

26K claims · 100.0%

Your Cost: $906.44/claim|Median: $913.47
1.0× median
99214Normal range

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

$426

11K claims · 0.0%

Your Cost: $0.04/claim|Median: $53.41
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$0

323 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.93
H0007Normal range

$0

128 claims · 0.0%

Your Cost: $0.00/claim|Median: $71.08
H0003Normal range

$0

367 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.38
98966Normal range

$0

3,895 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.84
99367Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.65
90791Normal range

Psychiatric diagnostic evaluation

$0

2,129 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$0

629 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.86
96150Normal range

Health behavior assessment, initial

$0

173 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.83
90847Normal range

Family psychotherapy with patient, 50 min

$0

137 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$0

13K claims · 0.0%

Your Cost: $0.00/claim|Median: $148.53
H0038Normal range

Self-help/peer services, per 15 minutes

$0

356 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04
90834Normal range

Psychotherapy, 45 minutes

$0

7,180 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65
96151Normal range

Health behavior reassessment

$0

140 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.43
T1023Normal range

Screening to determine appropriateness of consideration for program

$0

1,813 claims · 0.0%

Your Cost: $0.00/claim|Median: $106.70
99213Normal range

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

$0

544 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
T1017Normal range

Targeted case management, per 15 min

$0

4,178 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.56
90832Normal range

Psychotherapy, 30 minutes

$0

12K claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28
T1007Normal range

Alcohol/drug services, treatment plan review

$0

310 claims · 0.0%

Your Cost: $0.00/claim|Median: $64.10
T1015Normal range

Clinic visit/encounter, all-inclusive

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $121.16
H0014Normal range

$0

2,159 claims · 0.0%

Your Cost: $0.00/claim|Median: $137.81
H0005Normal range

Alcohol and/or drug services, group counseling

$0

2,702 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35
90853Normal range

Group psychotherapy

$0

4,425 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02
99215Normal range

Office/outpatient visit, high complexity

$0

1,032 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09
T1012Normal range

Alcohol/drug services, skills development

$0

453 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.78
H2010Normal range

Comprehensive medication services, per 15 min

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $62.69
99408Normal range

$0

905 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.32
98967Normal range

$0

4,540 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.97
3085FNormal range

$0

1,813 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.85
90792Normal range

Psychiatric diagnostic evaluation with medical services

$0

2,180 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91

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$2.68B

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$2.25B

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$1.73B

County of Riverside

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$1.40B

City & County of San Francisco

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$1.34B

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