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AVID QUALITY CARE

Case Management·AUBREY, TX·NPI: 1235431453Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.1M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2020-06→2024-12(53 months)

Total Paid

$27.1M

$27,131,182

Total Claims

190K

Beneficiaries

24K

7.9 claims/patient

Avg Cost/Claim

$143

Monthly Spending Trend

Yearly Spending

2020
$10K
+44586%
2021
$4.5M
+61%
2022
$7.2M
-3%
2023
$7.0M
+22%
2024
$8.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 58% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$15.7M

22K claims · 57.7%

Your Cost: $715.21/claim|Median: $321.53
2.2× median
H2014Normal range

Skills training & development, per 15 min

$2.0M

50K claims · 7.4%

Your Cost: $40.09/claim|Median: $83.88
0.5× median
M0167Normal range

$1.9M

13K claims · 7.1%

Your Cost: $151.57/claim|Median: $158.84
1.0× median
M0169Normal range

$1.1M

6,345 claims · 3.9%

Your Cost: $165.94/claim|Median: $165.94
1.0× median
S8990Normal range

$954K

14K claims · 3.5%

Your Cost: $67.51/claim|Median: $78.36
0.9× median
M0166Normal range

$921K

6,457 claims · 3.4%

Your Cost: $142.66/claim|Median: $151.35
0.9× median
T2020Top 25%

Day habilitation, waiver; per diem

$647K

3,428 claims · 2.4%

Your Cost: $188.80/claim|Median: $87.34
2.2× median
M0125Top 1%

$576K

6,127 claims · 2.1%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
T2025Normal range

Waiver services, NOS; per 15 min

$465K

8,176 claims · 1.7%

Your Cost: $56.82/claim|Median: $124.39
0.5× median
M0123Top 1%

$443K

5,813 claims · 1.6%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$360K

4,755 claims · 1.3%

Your Cost: $75.65/claim|Median: $84.12
0.9× median
M0116Normal range

$348K

11K claims · 1.3%

Your Cost: $31.70/claim|Median: $32.07
1.0× median
M0135Normal range

$319K

4,050 claims · 1.2%

Your Cost: $78.65/claim|Median: $79.23
1.0× median
M0118Normal range

$272K

7,331 claims · 1.0%

Your Cost: $37.10/claim|Median: $38.00
1.0× median
M0171Normal range

$189K

2,561 claims · 0.7%

Your Cost: $73.78/claim|Median: $73.78
1.0× median
M0131Normal range

$163K

2,448 claims · 0.6%

Your Cost: $66.56/claim|Median: $72.01
0.9× median
T1002Normal range

RN services, per 15 minutes

$151K

4,757 claims · 0.6%

Your Cost: $31.73/claim|Median: $37.42
0.8× median
M0115Normal range

$125K

4,327 claims · 0.5%

Your Cost: $28.86/claim|Median: $29.58
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$116K

4,958 claims · 0.4%

Your Cost: $23.39/claim|Median: $24.24
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$101K

240 claims · 0.4%

Your Cost: $420.22/claim|Median: $24.34
17.3× median
M0133Normal range

$93K

1,594 claims · 0.3%

Your Cost: $58.54/claim|Median: $84.70
0.7× median
M0299Normal range

$71K

1,645 claims · 0.3%

Your Cost: $43.05/claim|Median: $34.98
1.2× median
M0298Normal range

$61K

3,468 claims · 0.2%

Your Cost: $17.61/claim|Median: $13.85
1.3× median
M0113Top 25%

$41K

73 claims · 0.2%

Your Cost: $559.08/claim|Median: $397.30
1.4× median
M0117Normal range

$22K

485 claims · 0.1%

Your Cost: $44.57/claim|Median: $47.85
0.9× median
M0101Top 25%

$20K

173 claims · 0.1%

Your Cost: $115.44/claim|Median: $65.66
1.8× median
A9153Top 25%

$18K

165 claims · 0.1%

Your Cost: $109.38/claim|Median: $45.63
2.4× median
M0490Normal range

$17K

105 claims · 0.1%

Your Cost: $159.49/claim|Median: $159.49
1.0× median
M0315Normal range

$4K

143 claims · 0.0%

Your Cost: $31.40/claim|Median: $29.80
1.1× median
M0248Top 25%

$3K

282 claims · 0.0%

Your Cost: $9.62/claim|Median: $5.31
1.8× median

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Girling Health Care Inc.

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Aoc TX LLC

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$708.5M

Consumer Directed Services in Texas Inc.

Supports Brokerage

$624.8M

Caregivers Home Health TX INC

Nursing Care

$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

Similar Providers

Other top providers in Case Management

Department of Developmental Services

Southbridge, MA

$1.35B

Commonwealth of Massachusets

Beverly, MA

$1.14B

Commonwealth of Mass-dds

Hyde Park, MA

$1.10B

Community Assistance Resources & Extended Services INC

New York, NY

$1.04B

Stavros Center for Independent Living Inc.

Amherst, MA

$1.04B

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