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DOWNEAST HORIZONS INC

Case Management·BAR HARBOR, ME·NPI: 1073653754Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $52.6M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$52.6M

$52,589,250

Total Claims

227K

Beneficiaries

19K

12.1 claims/patient

Avg Cost/Claim

$232

Monthly Spending Trend

Yearly Spending

2018
$6.2M
+24%
2019
$7.8M
-6%
2020
$7.3M
+3%
2021
$7.5M
+1%
2022
$7.6M
+15%
2023
$8.7M
-15%
2024
$7.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 42% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$22.1M

53K claims · 42.1%

Your Cost: $415.81/claim|Median: $331.94
1.3× median
T2021Normal range

Day habilitation, waiver; per 15 min

$15.2M

97K claims · 28.9%

Your Cost: $157.49/claim|Median: $150.51
1.0× median
H2021Normal range

Community-based wrap-around services, per 15 min

$8.6M

36K claims · 16.3%

Your Cost: $239.34/claim|Median: $169.11
1.4× median
S5140Normal range

Foster care, adult; per diem

$6.5M

40K claims · 12.4%

Your Cost: $161.11/claim|Median: $252.32
0.6× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$104K

931 claims · 0.2%

Your Cost: $111.74/claim|Median: $137.32
0.8× median
H2023Top 5%

Supported employment, per 15 min

$25K

38 claims · 0.0%

Your Cost: $651.87/claim|Median: $103.94
6.3× median