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BEHAVIORAL HEALTH WORKS LLC

Behavior Analyst·GARDEN GROVE, CA·NPI: 1952672297Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.8M is at the 75th percentile among 31 Behavior Analyst providers.

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

Total Paid

$42.8M

$42,805,182

Total Claims

416K

Beneficiaries

74K

5.7 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$7.3M
+53%
2019
$11.2M
-15%
2020
$9.5M
-23%
2021
$7.3M
-64%
2022
$2.6M
-27%
2023
$1.9M
+46%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 64% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$27.5M

266K claims · 64.3%

Your Cost: $103.31/claim|Median: $84.12
1.2× median
H0032Normal range

Mental health service plan development

$7.1M

76K claims · 16.5%

Your Cost: $93.37/claim|Median: $80.64
1.2× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$2.0M

15K claims · 4.7%

Your Cost: $133.58/claim|Median: $167.38
0.8× median
H0031Normal range

Mental health assessment by non-physician

$1.4M

10K claims · 3.4%

Your Cost: $139.09/claim|Median: $96.18
1.4× median
S5110Normal range

Home care training, family; per 15 min

$1.2M

16K claims · 2.9%

Your Cost: $77.05/claim|Median: $74.36
1.0× median
H0046Normal range

Mental health services, not otherwise specified

$1.1M

12K claims · 2.7%

Your Cost: $97.77/claim|Median: $85.02
1.2× median
H2012Normal range

Behavioral health day treatment, per hour

$1.0M

6,703 claims · 2.4%

Your Cost: $154.53/claim|Median: $137.86
1.1× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$516K

3,724 claims · 1.2%

Your Cost: $138.57/claim|Median: $146.45
0.9× median
97156Normal range

$200K

1,819 claims · 0.5%

Your Cost: $110.03/claim|Median: $88.65
1.2× median
S5111Normal range

Home care training, family member, per session

$189K

2,498 claims · 0.4%

Your Cost: $75.55/claim|Median: $87.13
0.9× median
T1026Normal range

Waiver services, NOS, per diem

$107K

634 claims · 0.3%

Your Cost: $168.95/claim|Median: $146.05
1.2× median
H2014Normal range

Skills training & development, per 15 min

$106K

2,701 claims · 0.2%

Your Cost: $39.14/claim|Median: $83.88
0.5× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$94K

909 claims · 0.2%

Your Cost: $103.39/claim|Median: $106.05
1.0× median
0369TNormal range

$64K

557 claims · 0.1%

Your Cost: $114.86/claim|Median: $102.36
1.1× median
0368TNormal range

$29K

636 claims · 0.1%

Your Cost: $46.07/claim|Median: $44.63
1.0× median
97151Normal range

Behavior identification assessment

$25K

113 claims · 0.1%

Your Cost: $218.62/claim|Median: $161.10
1.4× median
0364TNormal range

$19K

915 claims · 0.0%

Your Cost: $21.28/claim|Median: $21.31
1.0× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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$124.9M

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