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Compass Health Inc.

Community/Behavioral Health·Clinton, MO·NPI: 1073055208Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $1.28B is at the 90th percentile among 218 Community/Behavioral Health providers.

Above 90th percentile for this specialty — higher spending than 196 of 218 peers

Active Billing Period:2018-012024-12(84 months)

Total Paid

$1.28B

$1,281,885,232

Total Claims

10.5M

Beneficiaries

3.0M

3.5 claims/patient

Avg Cost/Claim

$122

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

🔍 Analysis

Provider Overview

Compass Health Inc. is a Community/Behavioral Health provider based in Clinton, MO. From the 2018–2024 period, this provider received $1.3B in Medicaid payments across 10.5M claims.

Why This Matters

This provider received $1.3B in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 160,235 Medicaid beneficiaries for a full year at average per-enrollee costs.

128% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$116.3M
+18%
2019
$137.5M
+24%
2020
$170.1M
+1%
2021
$171.3M
+6%
2022
$181.7M
+32%
2023
$239.6M
+11%
2024
$265.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 99% of total spending.

T1040Top 5%

Medicaid certified CCBHC services

$1.27B

4.7M claims · 99.4%

Your Cost: $273.98/claim|Median: $130.29
2.1× median
90834Normal range

Psychotherapy, 45 minutes

$3.1M

335K claims · 0.2%

Your Cost: $9.39/claim|Median: $63.65
0.1× median
99214Normal range

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

$2.3M

218K claims · 0.2%

Your Cost: $10.41/claim|Median: $53.41
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$648K

46K claims · 0.1%

Your Cost: $14.22/claim|Median: $99.21
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$477K

73K claims · 0.0%

Your Cost: $6.56/claim|Median: $41.28
0.2× median
99213Normal range

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

$420K

140K claims · 0.0%

Your Cost: $3.01/claim|Median: $37.81
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$259K

14K claims · 0.0%

Your Cost: $18.82/claim|Median: $108.91
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$221K

29K claims · 0.0%

Your Cost: $7.61/claim|Median: $85.66
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$26K

13K claims · 0.0%

Your Cost: $2.06/claim|Median: $25.06
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$8K

453 claims · 0.0%

Your Cost: $17.73/claim|Median: $74.09
0.2× median
90853Normal range

Group psychotherapy

$8K

2K claims · 0.0%

Your Cost: $3.87/claim|Median: $25.02
0.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$4K

1K claims · 0.0%

Your Cost: $2.54/claim|Median: $77.33
0.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$1K

255 claims · 0.0%

Your Cost: $4.89/claim|Median: $76.61
0.1× median
99204Normal range

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

$1K

439 claims · 0.0%

Your Cost: $2.84/claim|Median: $84.03
0.0× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$173

104 claims · 0.0%

Your Cost: $1.66/claim|Median: $30.49
0.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$165

16 claims · 0.0%

Your Cost: $10.30/claim|Median: $111.09
0.1× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$120

96 claims · 0.0%

Your Cost: $1.24/claim|Median: $92.96
0.0× median
99203Normal range

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

$0

455 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85
H2015Normal range

Comprehensive community support services, per 15 min

$0

245K claims · 0.0%

Your Cost: $0.00/claim|Median: $96.24
H0005Normal range

Alcohol and/or drug services, group counseling

$0

185K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35
H0015Normal range

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

$0

5K claims · 0.0%

Your Cost: $0.00/claim|Median: $129.75
H2014Normal range

Skills training & development, per 15 min

$0

3K claims · 0.0%

Your Cost: $0.00/claim|Median: $83.88
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$0

190K claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63
H2010Normal range

Comprehensive medication services, per 15 min

$0

76K claims · 0.0%

Your Cost: $0.00/claim|Median: $62.69
99241Normal range

Office consultation, straightforward

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.49
H2012Normal range

Behavioral health day treatment, per hour

$0

81K claims · 0.0%

Your Cost: $0.00/claim|Median: $137.86
H0025Normal range

Behavioral health prevention education, per session

$0

169K claims · 0.0%

Your Cost: $0.00/claim|Median: $36.25
T1003Normal range

LPN/LVN services, per 15 minutes

$0

21K claims · 0.0%

Your Cost: $0.00/claim|Median: $24.24
H0001Normal range

Alcohol and/or drug assessment

$0

375 claims · 0.0%

Your Cost: $0.00/claim|Median: $94.22
T1002Normal range

RN services, per 15 minutes

$0

14K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.42