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EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

Community/Behavioral Health·NEW BERN, NC·NPI: 1013061746Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.2M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$28.2M

$28,154,624

Total Claims

175K

Beneficiaries

16K

11.0 claims/patient

Avg Cost/Claim

$161

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+26%
2019
$2.2M
+58%
2020
$3.5M
+13%
2021
$3.9M
+35%
2022
$5.3M
+16%
2023
$6.1M
-10%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (S5145 (Foster care, therapeutic, child, per diem)) accounts for 37% of total spending.

S5145Normal range

Foster care, therapeutic, child, per diem

$10.4M

67K claims · 37.0%

Your Cost: $155.68/claim|Median: $216.31
0.7× median
H2022Normal range

Community-based wrap-around services, per diem

$8.3M

14K claims · 29.4%

Your Cost: $573.16/claim|Median: $336.31
1.7× median
T2013Normal range

Habilitation, residential, waiver, per hour

$3.7M

27K claims · 13.0%

Your Cost: $134.92/claim|Median: $158.23
0.9× median
H0045Normal range

Respite care services, not in the home, per diem

$2.8M

32K claims · 9.9%

Your Cost: $87.09/claim|Median: $119.19
0.7× median
T2012Normal range

Habilitation, educational; per 15 min

$1.5M

7,910 claims · 5.3%

Your Cost: $190.41/claim|Median: $177.54
1.1× median
H2023Normal range

Supported employment, per 15 min

$523K

8,079 claims · 1.9%

Your Cost: $64.69/claim|Median: $103.94
0.6× median
H2026Normal range

$445K

10K claims · 1.6%

Your Cost: $43.24/claim|Median: $76.18
0.6× median
T1017Normal range

Targeted case management, per 15 min

$227K

1,942 claims · 0.8%

Your Cost: $116.66/claim|Median: $69.56
1.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$109K

3,052 claims · 0.4%

Your Cost: $35.68/claim|Median: $55.04
0.6× median
T2025Normal range

Waiver services, NOS; per 15 min

$73K

483 claims · 0.3%

Your Cost: $151.79/claim|Median: $124.39
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$62K

1,701 claims · 0.2%

Your Cost: $36.74/claim|Median: $33.11
1.1× median
S5150Normal range

Unskilled respite care, per 15 min

$47K

528 claims · 0.2%

Your Cost: $89.32/claim|Median: $84.46
1.1× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$8K

81 claims · 0.0%

Your Cost: $98.70/claim|Median: $100.49
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$3K

40 claims · 0.0%

Your Cost: $68.11/claim|Median: $85.66
0.8× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$7

718 claims · 0.0%

Your Cost: $0.01/claim|Median: $162.29
0.0× median

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City & County of San Francisco

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