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SEVEN HILLS RHODE ISLAND INC

Clinic/Center, Multi-Specialty·WOONSOCKET, RI·NPI: 1275743916Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.0M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$31.0M

$30,962,404

Total Claims

627K

Beneficiaries

59K

10.6 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-4%
2019
$4.4M
-18%
2020
$3.6M
+24%
2021
$4.5M
-15%
2022
$3.9M
+29%
2023
$5.0M
-1%
2024
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 43% of total spending.

T1019Normal range

Personal care services, per 15 min

$13.4M

120K claims · 43.3%

Your Cost: $111.80/claim|Median: $82.47
1.4× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$6.8M

47K claims · 22.1%

Your Cost: $144.71/claim|Median: $119.08
1.2× median
T1005Normal range

Respite care services, per 15 minutes

$3.0M

28K claims · 9.7%

Your Cost: $108.86/claim|Median: $71.40
1.5× median
T1016Normal range

Case management, each 15 min

$3.0M

87K claims · 9.6%

Your Cost: $34.34/claim|Median: $49.62
0.7× median
H0046Normal range

Mental health services, not otherwise specified

$2.3M

18K claims · 7.5%

Your Cost: $124.91/claim|Median: $85.02
1.5× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.3M

311K claims · 4.1%

Your Cost: $4.05/claim|Median: $321.53
0.0× median
T1027Normal range

Family training and counseling, per 15 minutes

$995K

15K claims · 3.2%

Your Cost: $66.51/claim|Median: $53.00
1.3× median
T2024Normal range

Supported employment, waiver, per diem

$133K

853 claims · 0.4%

Your Cost: $155.54/claim|Median: $259.38
0.6× median
T1023Top 25%

Screening to determine appropriateness of consideration for program

$62K

204 claims · 0.2%

Your Cost: $303.98/claim|Median: $106.70
2.8× median