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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·AUSTIN, TX·NPI: 1225239387Share

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 $23.9M is at the below 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$23.9M

$23,875,023

Total Claims

194K

Beneficiaries

18K

11.0 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+2%
2019
$1.3M
-10%
2020
$1.1M
+254%
2021
$4.1M
+52%
2022
$6.2M
-15%
2023
$5.2M
-9%
2024
$4.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 46% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$11.0M

64K claims · 46.0%

Your Cost: $171.64/claim|Median: $321.53
0.5× median
T2026Normal range

Specialized transportation, waiver, per trip

$5.6M

35K claims · 23.6%

Your Cost: $161.02/claim|Median: $170.05
0.9× median
M0150Normal range

$1.4M

8,466 claims · 5.7%

Your Cost: $161.70/claim|Median: $161.06
1.0× median
M0152Normal range

$1.1M

6,068 claims · 4.4%

Your Cost: $174.60/claim|Median: $174.64
1.0× median
97124Top 1%

$784K

1,717 claims · 3.3%

Your Cost: $456.65/claim|Median: $17.78
25.7× median
M0123Top 1%

$720K

9,452 claims · 3.0%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0122Top 1%

$511K

7,040 claims · 2.1%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$483K

11K claims · 2.0%

Your Cost: $45.35/claim|Median: $87.34
0.5× median
H2014Normal range

Skills training & development, per 15 min

$458K

11K claims · 1.9%

Your Cost: $42.52/claim|Median: $83.88
0.5× median
T2015Top 10%

Habilitation, prevocational, waiver, per diem

$429K

393 claims · 1.8%

Your Cost: $1,092.61/claim|Median: $88.27
12.4× median
M0116Normal range

$363K

12K claims · 1.5%

Your Cost: $29.46/claim|Median: $32.07
0.9× median
M0118Normal range

$246K

7,236 claims · 1.0%

Your Cost: $34.04/claim|Median: $38.00
0.9× median
T1002Normal range

RN services, per 15 minutes

$200K

4,457 claims · 0.8%

Your Cost: $44.90/claim|Median: $37.42
1.2× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$164K

1,613 claims · 0.7%

Your Cost: $101.92/claim|Median: $84.12
1.2× median
T1003Normal range

LPN/LVN services, per 15 minutes

$125K

6,057 claims · 0.5%

Your Cost: $20.58/claim|Median: $24.24
0.8× median
M0299Normal range

$109K

2,460 claims · 0.5%

Your Cost: $44.44/claim|Median: $34.98
1.3× median
M0133Normal range

$68K

912 claims · 0.3%

Your Cost: $74.78/claim|Median: $84.70
0.9× median
G0648Normal range

$43K

1,172 claims · 0.2%

Your Cost: $37.03/claim|Median: $13.92
2.7× median
M0298Top 25%

$39K

2,124 claims · 0.2%

Your Cost: $18.39/claim|Median: $13.85
1.3× median
A9153Normal range

$29K

450 claims · 0.1%

Your Cost: $63.86/claim|Median: $45.63
1.4× median
M0113Normal range

$24K

66 claims · 0.1%

Your Cost: $361.20/claim|Median: $397.30
0.9× median
M0101Normal range

$17K

339 claims · 0.1%

Your Cost: $49.96/claim|Median: $65.66
0.8× median
G0649Normal range

$15K

217 claims · 0.1%

Your Cost: $68.83/claim|Median: $71.11
1.0× median
M0248Normal range

$4K

823 claims · 0.0%

Your Cost: $5.37/claim|Median: $5.31
1.0× median
M0315Normal range

$2K

64 claims · 0.0%

Your Cost: $29.82/claim|Median: $29.80
1.0× median

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$477.7M

Legacy Community Health Services, INC

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$406.5M

Similar Providers

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

The Devereux Foundation

Cherry Hill, NJ

$401.2M

Easter Seals Midwest

Ballwin, MO

$349.0M

Ability360, Inc,

Phoenix, AZ

$274.7M

Divine House, Inc.

Willmar, MN

$230.9M

Rem New Jersey, Inc.

Somerset, NJ

$217.9M

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