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PLYMOUTH LIFE, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·LE MARS, IA·NPI: 1023166576Share

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

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.9M is at the 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

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

Total Paid

$46.9M

$46,924,604

Total Claims

90K

Beneficiaries

16K

5.5 claims/patient

Avg Cost/Claim

$523

Monthly Spending Trend

Yearly Spending

2018
$4.9M
+15%
2019
$5.6M
+10%
2020
$6.2M
+9%
2021
$6.7M
+5%
2022
$7.1M
+9%
2023
$7.8M
+11%
2024
$8.6M

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 73% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$34.2M

49K claims · 72.8%

Your Cost: $694.58/claim|Median: $321.53
2.2× median
S5136Top 25%

Companion care, adult, per 15 minutes

$10.8M

3,516 claims · 23.1%

Your Cost: $3,078.41/claim|Median: $302.34
10.2× median
T2020Normal range

Day habilitation, waiver; per diem

$1.2M

20K claims · 2.6%

Your Cost: $59.65/claim|Median: $87.34
0.7× median
T2021Normal range

Day habilitation, waiver; per 15 min

$500K

15K claims · 1.1%

Your Cost: $33.94/claim|Median: $150.51
0.2× median
H2015Normal range

Comprehensive community support services, per 15 min

$232K

1,990 claims · 0.5%

Your Cost: $116.59/claim|Median: $96.24
1.2× median

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