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THE ARC MIDDLESEX COUNTY

Community/Behavioral Health·MONMOUTH JUNCTION, NJ·NPI: 1093194896Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $73.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$73.0M

$72,965,194

Total Claims

274K

Beneficiaries

17K

16.4 claims/patient

Avg Cost/Claim

$267

Monthly Spending Trend

Yearly Spending

2018
$7.1M
+41%
2019
$10.0M
+1%
2020
$10.1M
+6%
2021
$10.6M
-23%
2022
$8.2M
+58%
2023
$12.9M
+9%
2024
$14.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 86% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$62.6M

167K claims · 85.8%

Your Cost: $374.90/claim|Median: $321.53
1.2× median
T2021Normal range

Day habilitation, waiver; per 15 min

$8.8M

89K claims · 12.1%

Your Cost: $99.20/claim|Median: $150.51
0.7× median
T2024Normal range

Supported employment, waiver, per diem

$1.2M

3,838 claims · 1.7%

Your Cost: $314.01/claim|Median: $259.38
1.2× median
T2015Normal range

Habilitation, prevocational, waiver, per diem

$248K

10K claims · 0.3%

Your Cost: $23.78/claim|Median: $88.27
0.3× median
H2014Normal range

Skills training & development, per 15 min

$65K

2,964 claims · 0.1%

Your Cost: $21.84/claim|Median: $83.88
0.3× median
T1005Normal range

Respite care services, per 15 minutes

$26K

498 claims · 0.0%

Your Cost: $52.08/claim|Median: $71.40
0.7× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$6K

97 claims · 0.0%

Your Cost: $62.76/claim|Median: $88.91
0.7× median