Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

FORGOTTEN ANGELS

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·PEARLAND, TX·NPI: 1205037066Share

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 $26.0M is at the below 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2020-102024-12(50 months)

Total Paid

$26.0M

$25,952,878

Total Claims

261K

Beneficiaries

24K

10.7 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2020
$2K
+155220%
2021
$3.5M
+103%
2022
$7.0M
+6%
2023
$7.4M
+9%
2024
$8.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 64% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$16.5M

98K claims · 63.5%

Your Cost: $168.82/claim|Median: $321.53
0.5× median
H2014Normal range

Skills training & development, per 15 min

$2.3M

53K claims · 8.7%

Your Cost: $42.51/claim|Median: $83.88
0.5× median
M0167Top 25%

$1.1M

6,646 claims · 4.1%

Your Cost: $162.02/claim|Median: $158.84
1.0× median
M0123Top 1%

$981K

13K claims · 3.8%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0150Normal range

$822K

5,082 claims · 3.2%

Your Cost: $161.65/claim|Median: $161.06
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$768K

8,177 claims · 3.0%

Your Cost: $93.96/claim|Median: $87.34
1.1× median
M0122Top 1%

$711K

9,793 claims · 2.7%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
T1002Normal range

RN services, per 15 minutes

$568K

20K claims · 2.2%

Your Cost: $28.49/claim|Median: $37.42
0.8× median
M0116Top 25%

$469K

14K claims · 1.8%

Your Cost: $33.96/claim|Median: $32.07
1.1× median
D0120Top 1%

Periodic oral evaluation, established patient

$267K

691 claims · 1.0%

Your Cost: $386.04/claim|Median: $24.34
15.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$246K

2,079 claims · 0.9%

Your Cost: $118.09/claim|Median: $84.12
1.4× median
M0115Normal range

$202K

6,785 claims · 0.8%

Your Cost: $29.82/claim|Median: $29.58
1.0× median
M0117Normal range

$200K

4,137 claims · 0.8%

Your Cost: $48.31/claim|Median: $47.85
1.0× median
M0299Normal range

$197K

6,576 claims · 0.8%

Your Cost: $29.96/claim|Median: $34.98
0.9× median
M0118Top 25%

$183K

4,566 claims · 0.7%

Your Cost: $39.98/claim|Median: $38.00
1.1× median
T2025Normal range

Waiver services, NOS; per 15 min

$127K

1,790 claims · 0.5%

Your Cost: $70.93/claim|Median: $124.39
0.6× median
M0113Normal range

$110K

299 claims · 0.4%

Your Cost: $367.89/claim|Median: $397.30
0.9× median
M0133Top 25%

$86K

826 claims · 0.3%

Your Cost: $103.60/claim|Median: $84.70
1.2× median
S8990Normal range

$46K

761 claims · 0.2%

Your Cost: $59.87/claim|Median: $78.36
0.8× median
A9153Normal range

$45K

1,217 claims · 0.2%

Your Cost: $37.11/claim|Median: $45.63
0.8× median
M0171Top 25%

$33K

422 claims · 0.1%

Your Cost: $79.09/claim|Median: $73.78
1.1× median
M0101Normal range

$28K

676 claims · 0.1%

Your Cost: $41.61/claim|Median: $65.66
0.6× median
M0315Normal range

$20K

787 claims · 0.1%

Your Cost: $25.64/claim|Median: $29.80
0.9× median
M0131Normal range

$14K

216 claims · 0.1%

Your Cost: $62.99/claim|Median: $72.01
0.9× median
M0120Normal range

$8K

151 claims · 0.0%

Your Cost: $49.79/claim|Median: $50.67
1.0× median
M0248Normal range

$6K

1,846 claims · 0.0%

Your Cost: $3.34/claim|Median: $5.31
0.6× median
M0298Normal range

$3K

197 claims · 0.0%

Your Cost: $15.90/claim|Median: $13.85
1.1× median

Similar Providers

Other top providers in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities