Mountain Comprehensive Care Center, Inc.

Counselor, Mental Health·Prestonsburg, KY·NPI: 1760491674Share

Compared to Counselor, Mental Health Peers

Total spending distribution among 27 providers in this specialty

P25MedianP75P90

This provider's total spending of $243.1M is at the 99th percentile among 27 Counselor, Mental Health providers.

Above 99th percentile for this specialty — higher spending than 26 of 27 peers

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

Total Paid

$243.1M

$243,114,592

Total Claims

2.6M

Beneficiaries

1.4M

1.9 claims/patient

Avg Cost/Claim

$93

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

🔍 Analysis

Provider Overview

Mountain Comprehensive Care Center, Inc. is a Counselor, Mental Health provider based in Prestonsburg, KY. From the 2018–2024 period, this provider received $243.1M in Medicaid payments across 2.6M claims.

Why This Matters

This provider received $243.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 30,389 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 54% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018

$27.9M

+8%

2019

$30.1M

-4%

2020

$28.9M

+19%

2021

$34.4M

+9%

2022

$37.5M

+10%

2023

$41.4M

+4%

2024

$42.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 19% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

90837Psychotherapy, 60 minutesSee all providers →

$45.3M

608K claims

$74.45

$85.66

0.9×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$45.3M

608K claims · 18.6%

Your Cost: $74.45/claim|Median: $85.66

0.9× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$43.1M

223K claims

$192.90

$84.12

2.3×

Top 25%

H2019Top 25%

Therapeutic behavioral services, per 15 min

$43.1M

223K claims · 17.7%

Your Cost: $192.90/claim|Median: $84.12

2.3× median

T2023Community transition, waiver; per serviceSee all providers →

$33.8M

107K claims

$315.18

$300.13

1.1×

Normal range

T2023Normal range

Community transition, waiver; per service

$33.8M

107K claims · 13.9%

Your Cost: $315.18/claim|Median: $300.13

1.1× median

90887Interpretation/explanation of resultsSee all providers →

$21.9M

293K claims

$74.76

$47.55

1.6×

Top 25%

90887Top 25%

Interpretation/explanation of results

$21.9M

293K claims · 9.0%

Your Cost: $74.76/claim|Median: $47.55

1.6× median

H0011Alcohol and/or drug services, acute detoxification, per diemSee all providers →

$16.4M

68K claims

$242.58

$317.54

0.8×

Normal range

H0011Normal range

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

$16.4M

68K claims · 6.8%

Your Cost: $242.58/claim|Median: $317.54

0.8× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$11.2M

226K claims

$49.54

$55.04

0.9×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$11.2M

226K claims · 4.6%

Your Cost: $49.54/claim|Median: $55.04

0.9× median

90832Psychotherapy, 30 minutesSee all providers →

$10.9M

286K claims

$38.17

$41.28

0.9×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$10.9M

286K claims · 4.5%

Your Cost: $38.17/claim|Median: $41.28

0.9× median

H2015Comprehensive community support services, per 15 minSee all providers →

$10.4M

147K claims

$70.45

$96.24

0.7×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$10.4M

147K claims · 4.3%

Your Cost: $70.45/claim|Median: $96.24

0.7× median

90834Psychotherapy, 45 minutesSee all providers →

$7.1M

126K claims

$56.66

$63.65

0.9×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$7.1M

126K claims · 2.9%

Your Cost: $56.66/claim|Median: $63.65

0.9× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$6.5M

57K claims

$115.06

$129.75

0.9×

Normal range

H0015Normal range

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

$6.5M

57K claims · 2.7%

Your Cost: $115.06/claim|Median: $129.75

0.9× median

H0018Behavioral health; short-term residential, per diemSee all providers →

$5.5M

29K claims

$185.97

$467.51

0.4×

Normal range

H0018Normal range

Behavioral health; short-term residential, per diem

$5.5M

29K claims · 2.3%

Your Cost: $185.97/claim|Median: $467.51

0.4× median

H0031Mental health assessment by non-physicianSee all providers →

$4.5M

59K claims

$76.10

$96.18

0.8×

Normal range

H0031Normal range

Mental health assessment by non-physician

$4.5M

59K claims · 1.9%

Your Cost: $76.10/claim|Median: $96.18

0.8× median

H0002Behavioral health screeningSee all providers →

$4.3M

57K claims

$76.62

$38.77

2.0×

Normal range

H0002Normal range

Behavioral health screening

$4.3M

57K claims · 1.8%

Your Cost: $76.62/claim|Median: $38.77

2.0× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$3.8M

73K claims

$51.83

$53.41

1.0×

Normal range

99214Normal range

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

$3.8M

73K claims · 1.6%

Your Cost: $51.83/claim|Median: $53.41

1.0× median

H0032Mental health service plan developmentSee all providers →

$3.7M

48K claims

$77.28

$80.64

1.0×

Normal range

H0032Normal range

Mental health service plan development

$3.7M

48K claims · 1.5%

Your Cost: $77.28/claim|Median: $80.64

1.0× median

S9485Crisis intervention mental health services, per diemSee all providers →

$3.5M

11K claims

$317.56

$501.33

0.6×

Normal range

S9485Normal range

Crisis intervention mental health services, per diem

$3.5M

11K claims · 1.4%

Your Cost: $317.56/claim|Median: $501.33

0.6× median

H2021Community-based wrap-around services, per 15 minSee all providers →

$1.9M

16K claims

$112.79

$169.11

0.7×

Normal range

H2021Normal range

Community-based wrap-around services, per 15 min

$1.9M

16K claims · 0.8%

Your Cost: $112.79/claim|Median: $169.11

0.7× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$1.8M

51K claims

$34.72

$37.81

0.9×

Normal range

99213Normal range

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

$1.8M

51K claims · 0.7%

Your Cost: $34.72/claim|Median: $37.81

0.9× median

99354 See all providers →

$1.7M

42K claims

$40.62

$54.96

0.7×

Normal range

99354Normal range

$1.7M

42K claims · 0.7%

Your Cost: $40.62/claim|Median: $54.96

0.7× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$1.4M

11K claims

$125.48

$108.91

1.1×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.4M

11K claims · 0.6%

Your Cost: $125.48/claim|Median: $108.91

1.1× median

H2034Alcohol and/or drug abuse halfway house services, per hourSee all providers →

$897K

4K claims

$213.46

$164.03

1.3×

Normal range

H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$897K

4K claims · 0.4%

Your Cost: $213.46/claim|Median: $164.03

1.3× median

99355 See all providers →

$697K

10K claims

$73.29

$55.81

1.3×

Normal range

99355Normal range

$697K

10K claims · 0.3%

Your Cost: $73.29/claim|Median: $55.81

1.3× median

90853Group psychotherapySee all providers →

$623K

41K claims

$15.28

$25.02

0.6×

Normal range

90853Normal range

Group psychotherapy

$623K

41K claims · 0.3%

Your Cost: $15.28/claim|Median: $25.02

0.6× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$462K

8K claims

$60.97

$74.63

0.8×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$462K

8K claims · 0.2%

Your Cost: $60.97/claim|Median: $74.63

0.8× median

99443Telephone E/M by physician, 21-30 minSee all providers →

$456K

6K claims

$76.25

$32.55

2.3×

Top 25%

99443Top 25%

Telephone E/M by physician, 21-30 min

$456K

6K claims · 0.2%

Your Cost: $76.25/claim|Median: $32.55

2.3× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$282K

3K claims

$110.21

$215.80

0.5×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$282K

3K claims · 0.1%

Your Cost: $110.21/claim|Median: $215.80

0.5× median

99442Telephone E/M by physician, 11-20 minutesSee all providers →

$256K

5K claims

$56.33

$22.44

2.5×

Top 25%

99442Top 25%

Telephone E/M by physician, 11-20 minutes

$256K

5K claims · 0.1%

Your Cost: $56.33/claim|Median: $22.44

2.5× median

H0001Alcohol and/or drug assessmentSee all providers →

$222K

3K claims

$78.10

$94.22

0.8×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$222K

3K claims · 0.1%

Your Cost: $78.10/claim|Median: $94.22

0.8× median

T1007Alcohol/drug services, treatment plan reviewSee all providers →

$199K

2K claims

$79.77

$64.10

1.2×

Normal range

T1007Normal range

Alcohol/drug services, treatment plan review

$199K

2K claims · 0.1%

Your Cost: $79.77/claim|Median: $64.10

1.2× median

90847Family psychotherapy with patient, 50 minSee all providers →

$131K

2K claims

$77.02

$77.33

1.0×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$131K

2K claims · 0.1%

Your Cost: $77.02/claim|Median: $77.33

1.0× median

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