Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PRAIRIE RIDGE INTEGRATED BEHAVIORAL HEALTHCARE

Substance Abuse Rehabilitation Facility·MASON CITY, IA·NPI: 1952443632Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.2M is at the 25th percentile among 20 Substance Abuse Rehabilitation Facility providers.

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

Total Paid

$24.2M

$24,223,583

Total Claims

261K

Beneficiaries

137K

1.9 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+16%
2019
$2.9M
-4%
2020
$2.8M
+23%
2021
$3.4M
+5%
2022
$3.6M
+32%
2023
$4.8M
-12%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 34% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$8.3M

47K claims · 34.2%

Your Cost: $176.88/claim|Median: $467.51
0.4× median
99490Top 1%

Chronic care management services, 20 minutes per month

$5.4M

34K claims · 22.1%

Your Cost: $156.61/claim|Median: $6.31
24.8× median
90834Top 25%

Psychotherapy, 45 minutes

$3.6M

40K claims · 15.0%

Your Cost: $89.98/claim|Median: $63.65
1.4× median
90853Top 25%

Group psychotherapy

$2.5M

46K claims · 10.5%

Your Cost: $54.86/claim|Median: $25.02
2.2× median
99214Normal range

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

$1.0M

17K claims · 4.3%

Your Cost: $59.99/claim|Median: $53.41
1.1× median
H0040Normal range

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

$842K

15K claims · 3.5%

Your Cost: $56.36/claim|Median: $266.41
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$738K

6,351 claims · 3.0%

Your Cost: $116.17/claim|Median: $99.21
1.2× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$613K

3,327 claims · 2.5%

Your Cost: $184.38/claim|Median: $108.91
1.7× median
Q3014Normal range

Telehealth originating site facility fee

$273K

15K claims · 1.1%

Your Cost: $18.69/claim|Median: $15.37
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$245K

5,390 claims · 1.0%

Your Cost: $45.40/claim|Median: $41.28
1.1× median
99213Normal range

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

$222K

5,351 claims · 0.9%

Your Cost: $41.46/claim|Median: $37.81
1.1× median
99204Top 25%

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

$160K

1,241 claims · 0.7%

Your Cost: $128.89/claim|Median: $84.03
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$136K

1,250 claims · 0.6%

Your Cost: $108.77/claim|Median: $74.09
1.5× median
H0015Normal range

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

$56K

607 claims · 0.2%

Your Cost: $91.92/claim|Median: $129.75
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$49K

518 claims · 0.2%

Your Cost: $93.67/claim|Median: $85.66
1.1× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$20K

109 claims · 0.1%

Your Cost: $182.83/claim|Median: $111.09
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$5K

1,664 claims · 0.0%

Your Cost: $3.20/claim|Median: $9.56
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$4K

113 claims · 0.0%

Your Cost: $33.84/claim|Median: $25.06
1.4× median
99203Normal range

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

$4K

52 claims · 0.0%

Your Cost: $72.51/claim|Median: $57.85
1.3× median
T1016Normal range

Case management, each 15 min

$2K

430 claims · 0.0%

Your Cost: $4.98/claim|Median: $49.62
0.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$1K

16 claims · 0.0%

Your Cost: $65.31/claim|Median: $77.33
0.8× median
99308Normal range

Nursing facility care, subsequent, straightforward

$258

39 claims · 0.0%

Your Cost: $6.62/claim|Median: $9.79
0.7× median
99439Normal range

$199

2,204 claims · 0.0%

Your Cost: $0.09/claim|Median: $5.83
0.0× median
G0506Normal range

Comprehensive assessment of chronic care management

$57

2,765 claims · 0.0%

Your Cost: $0.02/claim|Median: $7.41
0.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$25

5,221 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04
0.0× median
G2065Normal range

$0

318 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.39
99426Normal range

$0

710 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06
G2058Normal range

$0

343 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.40
G9008Normal range

Coordination of long-term care services, per month

$0

5,730 claims · 0.0%

Your Cost: $0.00/claim|Median: $66.78
S0281Normal range

$0

2,238 claims · 0.0%

Your Cost: $0.00/claim|Median: $92.97

Other Top Providers in Iowa

View all →

Purfoods LLC

Home Delivered Meals

$910.6M

Systems Unlimited Inc.

Day Training Developmentally Disabled Services

$244.8M

Dac, INC

Community/Behavioral Health

$189.7M

Mosaic

Community Based Residential Treatment Facility In

$177.4M

Rescare, INC

Community/Behavioral Health

$171.0M

Similar Providers

Other top providers in Substance Abuse Rehabilitation Facility

Nu-way House INC

Minneapolis, MN

$200.3M

Samaritan Daytop Village Inc.

Richmond Hill, NY

$191.8M

Helio Health Inc.

Syracuse, NY

$162.9M

Pyramid Health Care Inc.

Wilkinsburg, PA

$128.8M

← All providersAll providers in Iowa →How we detect fraud →