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Hope Haven INC

Nursing Facility/Intermediate Care Facility·Rock Valley, IA·NPI: 1184706566Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$143.3M

$143,253,649

Total Claims

902K

Beneficiaries

77K

11.7 claims/patient

Avg Cost/Claim

$159

#766 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Hope Haven INC is a Nursing Facility/Intermediate Care Facility provider based in Rock Valley, IA. From the 2018–2024 period, this provider received $143.3M in Medicaid payments across 902K claims.

Why This Matters

This provider received $143.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,906 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 33% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$14.5M
+50%
2019
$21.8M
+1%
2020
$22.1M
-1%
2021
$21.8M
+4%
2022
$22.6M
-5%
2023
$21.4M
-10%
2024
$19.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (S5136 (Companion care, adult, per 15 minutes)) accounts for 53% of total spending.

S5136Normal range

Companion care, adult, per 15 minutes

$76.6M

337K claims · 53.5%

Your Cost: $227.37/claim|Median: $302.34
0.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$33.5M

187K claims · 23.4%

Your Cost: $179.57/claim|Median: $321.53
0.6× median
T2020Normal range

Day habilitation, waiver; per diem

$13.5M

169K claims · 9.4%

Your Cost: $79.66/claim|Median: $87.34
0.9× median
H2025Top 25%

Ongoing support to maintain employment, per 15 min

$7.5M

36K claims · 5.3%

Your Cost: $210.73/claim|Median: $100.49
2.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$3.3M

53K claims · 2.3%

Your Cost: $62.04/claim|Median: $96.24
0.6× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$2.1M

18K claims · 1.5%

Your Cost: $120.78/claim|Median: $91.63
1.3× median
T2021Normal range

Day habilitation, waiver; per 15 min

$1.4M

30K claims · 1.0%

Your Cost: $46.58/claim|Median: $150.51
0.3× median
H2023Normal range

Supported employment, per 15 min

$1.1M

22K claims · 0.8%

Your Cost: $51.19/claim|Median: $103.94
0.5× median
S5140Normal range

Foster care, adult; per diem

$1.0M

6K claims · 0.7%

Your Cost: $170.52/claim|Median: $252.32
0.7× median
S5150Normal range

Unskilled respite care, per 15 min

$787K

11K claims · 0.5%

Your Cost: $74.84/claim|Median: $84.46
0.9× median
T2018Normal range

$581K

5K claims · 0.4%

Your Cost: $110.68/claim|Median: $117.28
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$435K

6K claims · 0.3%

Your Cost: $72.02/claim|Median: $55.04
1.3× median
T1005Normal range

Respite care services, per 15 minutes

$327K

4K claims · 0.2%

Your Cost: $89.65/claim|Median: $71.40
1.3× median
T2015Normal range

Habilitation, prevocational, waiver, per diem

$323K

7K claims · 0.2%

Your Cost: $48.02/claim|Median: $88.27
0.5× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$211K

5K claims · 0.1%

Your Cost: $38.58/claim|Median: $88.91
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$177K

3K claims · 0.1%

Your Cost: $57.39/claim|Median: $63.65
0.9× median
T2003Top 5%

Non-emergency transport; encounter/trip

$142K

524 claims · 0.1%

Your Cost: $271.26/claim|Median: $21.70
12.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$133K

2K claims · 0.1%

Your Cost: $86.74/claim|Median: $84.12
1.0× median
T2047Normal range

$127K

3K claims · 0.1%

Your Cost: $38.89/claim|Median: $127.20
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$3K

75 claims · 0.0%

Your Cost: $35.71/claim|Median: $41.28
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

34 claims · 0.0%

Your Cost: $76.07/claim|Median: $99.21
0.8× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$983

27 claims · 0.0%

Your Cost: $36.39/claim|Median: $37.81
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$768

15 claims · 0.0%

Your Cost: $51.20/claim|Median: $85.66
0.6× median

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