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COMMUNITY OPTIONS, INC

Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child·ALBUQUERQUE, NM·NPI: 1184838104Share

Compared to Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $76.7M is at the 25th percentile among 5 Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child providers.

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

Total Paid

$76.7M

$76,699,199

Total Claims

239K

Beneficiaries

14K

17.1 claims/patient

Avg Cost/Claim

$320

Monthly Spending Trend

Yearly Spending

2018
$5.9M
+12%
2019
$6.6M
+29%
2020
$8.5M
+22%
2021
$10.4M
+36%
2022
$14.2M
+35%
2023
$19.2M
-39%
2024
$11.8M

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 70% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$53.9M

148K claims · 70.3%

Your Cost: $363.27/claim|Median: $331.94
1.1× median
H2021Normal range

Community-based wrap-around services, per 15 min

$12.8M

45K claims · 16.7%

Your Cost: $286.55/claim|Median: $169.11
1.7× median
T2033Normal range

Residential care, NOS; per diem

$5.6M

23K claims · 7.3%

Your Cost: $242.55/claim|Median: $1,051.57
0.2× median
T2021Normal range

Day habilitation, waiver; per 15 min

$3.5M

20K claims · 4.5%

Your Cost: $176.45/claim|Median: $150.51
1.2× median
T2025Top 10%

Waiver services, NOS; per 15 min

$730K

836 claims · 1.0%

Your Cost: $873.11/claim|Median: $124.39
7.0× median
H2022Normal range

Community-based wrap-around services, per diem

$146K

2,534 claims · 0.2%

Your Cost: $57.49/claim|Median: $336.31
0.2× median

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