Active Billing Period:2018-01→2024-10(82 months)
Total Paid
$65.8M
$65,815,974
Total Claims
29K
Beneficiaries
25K
1.2 claims/patient
Avg Cost/Claim
$2K
Monthly Spending Trend
Yearly Spending
2018
$8.3M
+4%
2019
$8.6M
+0%
2020
$8.7M
+4%
2021
$9.0M
+14%
2022
$10.3M
+12%
2023
$11.5M
-18%
2024
$9.4M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 68% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$44.8M
15K claims
$2,934.90
$331.94
8.8×
Top 25%
T2016Top 25%
Habilitation, residential, waiver; per diem
$44.8M
15K claims · 68.1%
Your Cost: $2,934.90/claim|Median: $331.94
8.8× median$21.0M
14K claims
$1,512.07
$150.51
10.0×
Top 5%
T2021Top 5%
Day habilitation, waiver; per 15 min
$21.0M
14K claims · 31.9%
Your Cost: $1,512.07/claim|Median: $150.51
10.0× median$1K
43 claims
$33.85
$33.67
1.0×
Normal range
S5190Normal range
Wellness assessment, performed by non-physician
$1K
43 claims · 0.0%
Your Cost: $33.85/claim|Median: $33.67
1.0× median