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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

Community/Behavioral Health·AUSTIN, TX·NPI: 1134320294Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.1M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$19.1M

$19,053,628

Total Claims

146K

Beneficiaries

27K

5.5 claims/patient

Avg Cost/Claim

$131

Monthly Spending Trend

Yearly Spending

2018
$447K
-3%
2019
$434K
-2%
2020
$424K
+709%
2021
$3.4M
+50%
2022
$5.1M
-9%
2023
$4.7M
-4%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 53% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$10.1M

46K claims · 52.9%

Your Cost: $217.62/claim|Median: $321.53
0.7× median
T2022Normal range

Case management, per month

$3.0M

16K claims · 15.5%

Your Cost: $179.77/claim|Median: $202.77
0.9× median
M0151Normal range

$1.5M

7,639 claims · 7.9%

Your Cost: $197.72/claim|Median: $197.71
1.0× median
M0150Top 25%

$942K

5,821 claims · 4.9%

Your Cost: $161.88/claim|Median: $161.06
1.0× median
M0152Normal range

$711K

4,196 claims · 3.7%

Your Cost: $169.49/claim|Median: $174.64
1.0× median
H2014Normal range

Skills training & development, per 15 min

$678K

12K claims · 3.6%

Your Cost: $54.60/claim|Median: $83.88
0.7× median
T2020Normal range

Day habilitation, waiver; per diem

$582K

11K claims · 3.1%

Your Cost: $53.18/claim|Median: $87.34
0.6× median
M0117Normal range

$362K

8,231 claims · 1.9%

Your Cost: $43.93/claim|Median: $47.85
0.9× median
M0118Normal range

$237K

6,932 claims · 1.2%

Your Cost: $34.21/claim|Median: $38.00
0.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$228K

1,939 claims · 1.2%

Your Cost: $117.74/claim|Median: $84.12
1.4× median
M0123Top 1%

$218K

2,861 claims · 1.1%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0116Normal range

$207K

6,498 claims · 1.1%

Your Cost: $31.88/claim|Median: $32.07
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$97K

4,725 claims · 0.5%

Your Cost: $20.51/claim|Median: $24.24
0.8× median
T1002Normal range

RN services, per 15 minutes

$71K

3,122 claims · 0.4%

Your Cost: $22.66/claim|Median: $37.42
0.6× median
M0298Normal range

$67K

3,954 claims · 0.3%

Your Cost: $16.86/claim|Median: $13.85
1.2× median
M0299Normal range

$66K

2,552 claims · 0.3%

Your Cost: $25.80/claim|Median: $34.98
0.7× median
A9153Normal range

$22K

491 claims · 0.1%

Your Cost: $44.00/claim|Median: $45.63
1.0× median
M0101Normal range

$11K

209 claims · 0.1%

Your Cost: $54.16/claim|Median: $65.66
0.8× median
M0133Top 25%

$6K

45 claims · 0.0%

Your Cost: $133.88/claim|Median: $84.70
1.6× median
M0248Normal range

$3K

655 claims · 0.0%

Your Cost: $4.98/claim|Median: $5.31
0.9× median

Other Top Providers in Texas

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Girling Health Care Inc.

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$858.2M

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$708.5M

Consumer Directed Services in Texas Inc.

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$624.8M

Caregivers Home Health TX INC

Nursing Care

$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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