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UNISON BEHAVIORAL HEALTH GROUP, INC.

Community/Behavioral Health·TOLEDO, OH·NPI: 1952370561Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$53.0M

$52,975,691

Total Claims

459K

Beneficiaries

309K

1.5 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2018
$7.9M
-31%
2019
$5.5M
+4%
2020
$5.7M
+5%
2021
$6.0M
+12%
2022
$6.8M
+28%
2023
$8.7M
+42%
2024
$12.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 38 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 22% of total spending.

H0040Normal range

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

$11.6M

40K claims · 21.9%

Your Cost: $289.07/claim|Median: $266.41
1.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$8.9M

123K claims · 16.9%

Your Cost: $72.59/claim|Median: $84.12
0.9× median
99214Top 25%

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

$7.8M

87K claims · 14.8%

Your Cost: $89.71/claim|Median: $53.41
1.7× median
T2022Top 10%

Case management, per month

$7.6M

15K claims · 14.4%

Your Cost: $496.47/claim|Median: $202.77
2.4× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$5.8M

36K claims · 11.0%

Your Cost: $160.06/claim|Median: $144.05
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$3.3M

38K claims · 6.3%

Your Cost: $87.17/claim|Median: $85.66
1.0× median
S0281Top 25%

$2.4M

12K claims · 4.5%

Your Cost: $197.62/claim|Median: $92.97
2.1× median
99215Top 25%

Office/outpatient visit, high complexity

$835K

6,860 claims · 1.6%

Your Cost: $121.71/claim|Median: $74.09
1.6× median
99213Top 25%

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

$819K

15K claims · 1.5%

Your Cost: $55.99/claim|Median: $37.81
1.5× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$699K

18K claims · 1.3%

Your Cost: $37.85/claim|Median: $76.05
0.5× median
T2023Top 10%

Community transition, waiver; per service

$616K

653 claims · 1.2%

Your Cost: $943.05/claim|Median: $300.13
3.1× median
90832Normal range

Psychotherapy, 30 minutes

$569K

12K claims · 1.1%

Your Cost: $48.57/claim|Median: $41.28
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$428K

4,569 claims · 0.8%

Your Cost: $93.59/claim|Median: $99.21
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$325K

5,254 claims · 0.6%

Your Cost: $61.85/claim|Median: $63.65
1.0× median
H2000Top 25%

Comprehensive multidisciplinary evaluation

$311K

1,872 claims · 0.6%

Your Cost: $166.35/claim|Median: $114.71
1.5× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$240K

1,290 claims · 0.5%

Your Cost: $185.76/claim|Median: $111.09
1.7× median
H2036Normal range

Alcohol/drug treatment, per hour

$123K

709 claims · 0.2%

Your Cost: $172.85/claim|Median: $253.79
0.7× median
99204Top 25%

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

$112K

828 claims · 0.2%

Your Cost: $134.89/claim|Median: $84.03
1.6× median
H0015Normal range

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

$98K

1,073 claims · 0.2%

Your Cost: $90.90/claim|Median: $129.75
0.7× median
90785Top 25%

$75K

7,566 claims · 0.1%

Your Cost: $9.91/claim|Median: $6.43
1.5× median
H0011Normal range

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

$49K

311 claims · 0.1%

Your Cost: $156.26/claim|Median: $317.54
0.5× median
H2012Normal range

Behavioral health day treatment, per hour

$24K

1,010 claims · 0.0%

Your Cost: $23.37/claim|Median: $137.86
0.2× median
T1002Normal range

RN services, per 15 minutes

$22K

988 claims · 0.0%

Your Cost: $22.73/claim|Median: $37.42
0.6× median
H0005Normal range

Alcohol and/or drug services, group counseling

$13K

417 claims · 0.0%

Your Cost: $31.31/claim|Median: $47.35
0.7× median
H0006Normal range

Alcohol and/or drug services, case management

$11K

602 claims · 0.0%

Your Cost: $18.85/claim|Median: $43.10
0.4× median
H0048Normal range

$10K

1,302 claims · 0.0%

Your Cost: $7.68/claim|Median: $13.25
0.6× median
99212Top 25%

Office/outpatient visit, low complexity

$9K

228 claims · 0.0%

Your Cost: $39.03/claim|Median: $25.06
1.6× median
96101Normal range

$9K

174 claims · 0.0%

Your Cost: $51.09/claim|Median: $196.08
0.3× median
90839Normal range

Psychotherapy for crisis, first 60 min

$7K

76 claims · 0.0%

Your Cost: $95.72/claim|Median: $83.98
1.1× median
99203Normal range

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

$6K

91 claims · 0.0%

Your Cost: $69.71/claim|Median: $57.85
1.2× median
99355Top 10%

$2K

21 claims · 0.0%

Your Cost: $104.75/claim|Median: $55.81
1.9× median
99406Normal range

$695

276 claims · 0.0%

Your Cost: $2.52/claim|Median: $6.53
0.4× median
36415Normal range

Collection of venous blood by venipuncture

$492

279 claims · 0.0%

Your Cost: $1.76/claim|Median: $1.57
1.1× median
90853Normal range

Group psychotherapy

$303

54 claims · 0.0%

Your Cost: $5.61/claim|Median: $25.02
0.2× median
G9009Normal range

$0

153 claims · 0.0%

Your Cost: $0.00/claim|Median: $345.34
G9006Normal range

Coordination of long-term care services, per hour

$0

12K claims · 0.0%

Your Cost: $0.00/claim|Median: $204.93
G9007Normal range

$0

4,535 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44
G9002Normal range

Coordinated care fee, maintenance period

$0

7,770 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.80

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