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THE ARC

Exclusive Provider Organization·HAMPTON, NJ·NPI: 1003160391Share
Active Billing Period:2018-022024-12(83 months)

Total Paid

$86.9M

$86,941,136

Total Claims

236K

Beneficiaries

11K

22.0 claims/patient

Avg Cost/Claim

$368

Monthly Spending Trend

Yearly Spending

2018
$6.7M
+98%
2019
$13.2M
-9%
2020
$12.0M
+3%
2021
$12.4M
+12%
2022
$13.9M
+13%
2023
$15.7M
-17%
2024
$13.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 92% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$79.9M

178K claims · 91.9%

Your Cost: $449.37/claim|Median: $321.53
1.4× median
T2021Normal range

Day habilitation, waiver; per 15 min

$6.5M

49K claims · 7.5%

Your Cost: $134.29/claim|Median: $150.51
0.9× median
H2021Normal range

Community-based wrap-around services, per 15 min

$396K

2,223 claims · 0.5%

Your Cost: $178.27/claim|Median: $169.11
1.1× median
A0090Normal range

Non-emergency transport, per mile

$50K

6,758 claims · 0.1%

Your Cost: $7.41/claim|Median: $10.45
0.7× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$47K

986 claims · 0.1%

Your Cost: $47.93/claim|Median: $88.91
0.5× median

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