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DEVELOPMENTAL PATHWAYS, INC.

Day Training/Habilitation Specialist·AURORA, CO·NPI: 1023146115Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$20.6M

$20,562,591

Total Claims

157K

Beneficiaries

136K

1.2 claims/patient

Avg Cost/Claim

$131

Monthly Spending Trend

Yearly Spending

2018
$7.2M
+3%
2019
$7.4M
-80%
2020
$1.5M
-29%
2021
$1.1M
+16%
2022
$1.2M
+2%
2023
$1.2M
-20%
2024
$993K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 63% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$12.9M

66K claims · 62.7%

Your Cost: $194.63/claim|Median: $69.56
2.8× median
T2004Top 10%

Non-emergency transportation, commercial carrier, encounter trip

$2.9M

26K claims · 13.9%

Your Cost: $111.19/claim|Median: $8.80
12.6× median
T2028Normal range

Specialized supply, NOS; per unit

$1.6M

47K claims · 7.9%

Your Cost: $34.83/claim|Median: $79.30
0.4× median
V2799Top 1%

$1.2M

2,751 claims · 5.8%

Your Cost: $434.88/claim|Median: $8.94
48.6× median
S5130Top 10%

Homemaker service, NOS; per 15 min

$811K

3,122 claims · 3.9%

Your Cost: $259.88/claim|Median: $48.76
5.3× median
S5199Top 10%

Personal care item, NOS, each

$614K

5,751 claims · 3.0%

Your Cost: $106.84/claim|Median: $10.82
9.9× median
T2003Top 25%

Non-emergency transport; encounter/trip

$267K

4,379 claims · 1.3%

Your Cost: $61.00/claim|Median: $21.70
2.8× median
T2035Top 1%

$185K

534 claims · 0.9%

Your Cost: $347.28/claim|Median: $295.07
1.2× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$59K

399 claims · 0.3%

Your Cost: $147.06/claim|Median: $84.12
1.7× median
S5165Normal range

Home modifications, per service

$33K

23 claims · 0.2%

Your Cost: $1,452.52/claim|Median: $2,196.32
0.7× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$12K

63 claims · 0.1%

Your Cost: $193.30/claim|Median: $141.34
1.4× median
T1016Normal range

Case management, each 15 min

$5K

1,007 claims · 0.0%

Your Cost: $5.26/claim|Median: $49.62
0.1× median
A0110Top 10%

Non-emergency taxi transport

$1K

31 claims · 0.0%

Your Cost: $40.06/claim|Median: $9.27
4.3× median