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VISTA CARE SOUTH DAKOTA, LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·SHEBOYGAN, WI·NPI: 1124586037Share

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 $20.0M is at the below 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2019-072024-11(61 months)

Total Paid

$20.0M

$20,010,791

Total Claims

16K

Beneficiaries

14K

1.2 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2019
$1.3M
+28%
2020
$1.7M
+138%
2021
$4.1M
-1%
2022
$4.1M
-18%
2023
$3.4M
+60%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 74% of total spending.

T2016Top 25%

Habilitation, residential, waiver; per diem

$14.7M

3,766 claims · 73.7%

Your Cost: $3,913.83/claim|Median: $331.94
11.8× median
T2020Top 10%

Day habilitation, waiver; per diem

$3.3M

5,098 claims · 16.5%

Your Cost: $649.25/claim|Median: $87.34
7.4× median
S0281Top 5%

$1.2M

3,030 claims · 6.1%

Your Cost: $400.61/claim|Median: $92.97
4.3× median
T2018Top 25%

$383K

1,538 claims · 1.9%

Your Cost: $248.99/claim|Median: $117.28
2.1× median
T2019Top 25%

Habilitation, prevocational, waiver; per 15 min

$166K

558 claims · 0.8%

Your Cost: $297.43/claim|Median: $88.91
3.3× median
T2025Normal range

Waiver services, NOS; per 15 min

$127K

1,654 claims · 0.6%

Your Cost: $76.52/claim|Median: $124.39
0.6× median
T2014Top 25%

Habilitation, prevocational, waiver, per hour

$47K

311 claims · 0.2%

Your Cost: $150.52/claim|Median: $74.75
2.0× median
T2028Normal range

Specialized supply, NOS; per unit

$25K

403 claims · 0.1%

Your Cost: $62.84/claim|Median: $79.30
0.8× median

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