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FOURTH AVENUE HOMES INC.

Community Based Residential Treatment Facility, Mental Illness·SPICER, MN·NPI: 1205012507Share

Compared to Community Based Residential Treatment Facility, Mental Illness Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $63.5M is at the 50th percentile among 5 Community Based Residential Treatment Facility, Mental Illness providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$63.5M

$63,535,272

Total Claims

144K

Beneficiaries

5,291

27.2 claims/patient

Avg Cost/Claim

$442

Monthly Spending Trend

Yearly Spending

2018
$5.2M
+21%
2019
$6.3M
+29%
2020
$8.1M
+9%
2021
$8.9M
+23%
2022
$10.9M
+15%
2023
$12.5M
-7%
2024
$11.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (S5140 (Foster care, adult; per diem)) accounts for 77% of total spending.

S5140Normal range

Foster care, adult; per diem

$48.9M

112K claims · 77.0%

Your Cost: $436.61/claim|Median: $252.32
1.7× median
T2016Normal range

Habilitation, residential, waiver; per diem

$14.2M

30K claims · 22.3%

Your Cost: $478.26/claim|Median: $331.94
1.4× median
H0045Normal range

Respite care services, not in the home, per diem

$398K

1,617 claims · 0.6%

Your Cost: $246.08/claim|Median: $119.19
2.1× median
S5150Normal range

Unskilled respite care, per 15 min

$41K

500 claims · 0.1%

Your Cost: $82.33/claim|Median: $84.46
1.0× median

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