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COMMUNITY ALTERNATIVE INC

Community/Behavioral Health·NORFOLK, VA·NPI: 1215032735Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.3M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$44.3M

$44,312,961

Total Claims

112K

Beneficiaries

15K

7.7 claims/patient

Avg Cost/Claim

$396

Monthly Spending Trend

Yearly Spending

2018
$6.1M
-2%
2019
$6.0M
-10%
2020
$5.4M
+7%
2021
$5.8M
+25%
2022
$7.2M
+7%
2023
$7.7M
-20%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 79% of total spending.

H2022Top 25%

Community-based wrap-around services, per diem

$35.2M

22K claims · 79.5%

Your Cost: $1,635.61/claim|Median: $336.31
4.9× median
97150Top 5%

Therapeutic procedure, group (2+ patients)

$6.7M

26K claims · 15.2%

Your Cost: $254.71/claim|Median: $12.12
21.0× median
T2021Normal range

Day habilitation, waiver; per 15 min

$1.9M

10K claims · 4.3%

Your Cost: $184.54/claim|Median: $150.51
1.2× median
T2003Normal range

Non-emergency transport; encounter/trip

$438K

53K claims · 1.0%

Your Cost: $8.19/claim|Median: $21.70
0.4× median