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PILLAR CARE CONTINUUM

Residential Treatment Facility, Intellectual and/or Developmental Disabilities·EAST HANOVER, NJ·NPI: 1013395458Share

Compared to Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 15 providers in this specialty

P25MedianP75P90

This provider's total spending of $100.8M is at the 75th percentile among 15 Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

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

Total Paid

$100.8M

$100,841,847

Total Claims

339K

Beneficiaries

18K

19.2 claims/patient

Avg Cost/Claim

$298

Monthly Spending Trend

Yearly Spending

2018
$9.6M
+56%
2019
$15.0M
-28%
2020
$10.8M
+7%
2021
$11.6M
+15%
2022
$13.3M
+43%
2023
$19.0M
+14%
2024
$21.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 73% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$74.1M

158K claims · 73.5%

Your Cost: $468.98/claim|Median: $321.53
1.5× median
T2021Normal range

Day habilitation, waiver; per 15 min

$25.1M

154K claims · 24.9%

Your Cost: $163.40/claim|Median: $150.51
1.1× median
T2015Normal range

Habilitation, prevocational, waiver, per diem

$893K

7,768 claims · 0.9%

Your Cost: $114.92/claim|Median: $88.27
1.3× median
T1005Normal range

Respite care services, per 15 minutes

$477K

8,368 claims · 0.5%

Your Cost: $57.04/claim|Median: $71.40
0.8× median
A0090Normal range

Non-emergency transport, per mile

$163K

9,700 claims · 0.2%

Your Cost: $16.76/claim|Median: $10.45
1.6× median
S8990Normal range

$43K

705 claims · 0.0%

Your Cost: $61.11/claim|Median: $78.36
0.8× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$41K

438 claims · 0.0%

Your Cost: $94.39/claim|Median: $88.91
1.1× median
97535Top 25%

Self-care/home management training, per 15 minutes

$16K

309 claims · 0.0%

Your Cost: $52.01/claim|Median: $18.18
2.9× median

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