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Bestself Behavioral Health, Inc.

Social Worker·Buffalo, NY·NPI: 1023230695Share

Compared to Social Worker Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $160.6M is at the 99th percentile among 10 Social Worker providers.

Above 99th percentile for this specialty — higher spending than 9 of 10 peers

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

Total Paid

$160.6M

$160,588,165

Total Claims

1.4M

Beneficiaries

503K

2.9 claims/patient

Avg Cost/Claim

$111

#644 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Bestself Behavioral Health, Inc. is a Social Worker provider based in Buffalo, NY. From the 2018–2024 period, this provider received $160.6M in Medicaid payments across 1.4M claims.

Why This Matters

This provider received $160.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,073 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 52% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$21.2M
+8%
2019
$22.8M
+22%
2020
$27.8M
-2%
2021
$27.3M
+1%
2022
$27.7M
-15%
2023
$23.6M
-57%
2024
$10.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 94% of total spending.

T1040Normal range

Medicaid certified CCBHC services

$150.5M

1.4M claims · 93.7%

Your Cost: $109.80/claim|Median: $130.29
0.8× median
90834Top 10%

Psychotherapy, 45 minutes

$5.4M

40K claims · 3.4%

Your Cost: $137.40/claim|Median: $63.65
2.2× median
90832Top 5%

Psychotherapy, 30 minutes

$2.7M

20K claims · 1.7%

Your Cost: $138.04/claim|Median: $41.28
3.3× median
90853Top 5%

Group psychotherapy

$405K

3K claims · 0.3%

Your Cost: $152.00/claim|Median: $25.02
6.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$396K

3K claims · 0.2%

Your Cost: $132.82/claim|Median: $99.21
1.3× median
90847Top 10%

Family psychotherapy with patient, 50 min

$379K

3K claims · 0.2%

Your Cost: $148.98/claim|Median: $77.33
1.9× median
99213Top 1%

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

$375K

2K claims · 0.2%

Your Cost: $171.39/claim|Median: $37.81
4.5× median
99214Top 5%

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

$219K

2K claims · 0.1%

Your Cost: $127.87/claim|Median: $53.41
2.4× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$156K

993 claims · 0.1%

Your Cost: $157.18/claim|Median: $22.44
7.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$10K

67 claims · 0.0%

Your Cost: $152.89/claim|Median: $215.80
0.7× median
99215Top 25%

Office/outpatient visit, high complexity

$10K

82 claims · 0.0%

Your Cost: $118.96/claim|Median: $74.09
1.6× median
99212Top 1%

Office/outpatient visit, low complexity

$6K

29 claims · 0.0%

Your Cost: $215.84/claim|Median: $25.06
8.6× median
90846Normal range

Family psychotherapy without patient, 50 min

$5K

57 claims · 0.0%

Your Cost: $85.05/claim|Median: $76.61
1.1× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$5K

40 claims · 0.0%

Your Cost: $117.03/claim|Median: $55.04
2.1× median
90849Normal range

Multiple-family group psychotherapy

$1K

30 claims · 0.0%

Your Cost: $40.56/claim|Median: $40.78
1.0× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$816

12 claims · 0.0%

Your Cost: $67.99/claim|Median: $32.55
2.1× median

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