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LEXINGTON LEARNING CENTER

Community/Behavioral Health·MESA, AZ·NPI: 1245699065Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $60.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$60.8M

$60,788,805

Total Claims

688K

Beneficiaries

74K

9.2 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$5.5M
+28%
2019
$7.1M
+17%
2020
$8.3M
-3%
2021
$8.1M
+6%
2022
$8.6M
+21%
2023
$10.4M
+23%
2024
$12.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 25% of total spending.

S5125Top 25%

Attendant care services, per 15 min

$15.0M

100K claims · 24.6%

Your Cost: $149.34/claim|Median: $82.34
1.8× median
T2021Normal range

Day habilitation, waiver; per 15 min

$14.2M

155K claims · 23.4%

Your Cost: $91.79/claim|Median: $150.51
0.6× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$12.8M

143K claims · 21.0%

Your Cost: $89.66/claim|Median: $137.32
0.7× median
S5150Normal range

Unskilled respite care, per 15 min

$7.1M

83K claims · 11.6%

Your Cost: $85.48/claim|Median: $84.46
1.0× median
97535Top 10%

Self-care/home management training, per 15 minutes

$3.6M

43K claims · 6.0%

Your Cost: $85.25/claim|Median: $18.18
4.7× median
92507Top 25%

Speech/hearing/language treatment

$3.5M

43K claims · 5.8%

Your Cost: $81.73/claim|Median: $49.45
1.7× median
A0120Normal range

Non-emergency mini-bus transport

$2.7M

112K claims · 4.4%

Your Cost: $23.73/claim|Median: $16.09
1.5× median
S5151Top 25%

Unskilled respite care, per diem

$874K

2,480 claims · 1.4%

Your Cost: $352.61/claim|Median: $249.18
1.4× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$415K

1,510 claims · 0.7%

Your Cost: $275.12/claim|Median: $91.63
3.0× median
H2014Top 25%

Skills training & development, per 15 min

$403K

2,436 claims · 0.7%

Your Cost: $165.51/claim|Median: $83.88
2.0× median
92526Top 25%

Treatment of swallowing dysfunction and/or oral function

$108K

1,152 claims · 0.2%

Your Cost: $93.33/claim|Median: $49.74
1.9× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$80K

1,983 claims · 0.1%

Your Cost: $40.48/claim|Median: $88.91
0.5× median
97166Top 5%

OT evaluation, moderate complexity

$23K

127 claims · 0.0%

Your Cost: $180.18/claim|Median: $48.74
3.7× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$18K

103 claims · 0.0%

Your Cost: $179.54/claim|Median: $110.87
1.6× median
97530Top 25%

Therapeutic activities, each 15 min

$16K

227 claims · 0.0%

Your Cost: $69.59/claim|Median: $33.11
2.1× median

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$459.7M

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$360.3M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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