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COUNCIL FOR EXTENDED CARE

Residential Treatment Facility, Intellectual and/or Developmental Disabilities·SAINT LOUIS, MO·NPI: 1285755579Share

Compared to Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 15 providers in this specialty

P25MedianP75P90

This provider's total spending of $98.0M is at the 75th percentile among 15 Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

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

Total Paid

$98.0M

$98,040,037

Total Claims

267K

Beneficiaries

27K

9.9 claims/patient

Avg Cost/Claim

$368

Monthly Spending Trend

Yearly Spending

2018
$10.8M
+4%
2019
$11.3M
+1%
2020
$11.4M
+4%
2021
$11.9M
+29%
2022
$15.3M
+24%
2023
$19.0M
-4%
2024
$18.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 94% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$92.5M

213K claims · 94.4%

Your Cost: $433.60/claim|Median: $331.94
1.3× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.4M

7,932 claims · 1.4%

Your Cost: $177.29/claim|Median: $146.45
1.2× median
T2021Normal range

Day habilitation, waiver; per 15 min

$1.0M

10K claims · 1.1%

Your Cost: $100.02/claim|Median: $150.51
0.7× median
T1002Normal range

RN services, per 15 minutes

$661K

11K claims · 0.7%

Your Cost: $58.60/claim|Median: $37.42
1.6× median
T2001Top 25%

Non-emergency transportation, patient attendant or aide

$645K

5,009 claims · 0.7%

Your Cost: $128.85/claim|Median: $19.61
6.6× median
S5108Normal range

Home care training to home care client, per 15 minutes

$560K

6,041 claims · 0.6%

Your Cost: $92.66/claim|Median: $107.36
0.9× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$502K

3,544 claims · 0.5%

Your Cost: $141.64/claim|Median: $167.38
0.8× median
T1019Normal range

Personal care services, per 15 min

$353K

5,414 claims · 0.4%

Your Cost: $65.24/claim|Median: $82.47
0.8× median
97156Normal range

$197K

2,197 claims · 0.2%

Your Cost: $89.68/claim|Median: $88.65
1.0× median
0369TNormal range

$76K

653 claims · 0.1%

Your Cost: $115.84/claim|Median: $102.36
1.1× median
A0120Top 5%

Non-emergency mini-bus transport

$51K

121 claims · 0.1%

Your Cost: $420.90/claim|Median: $16.09
26.2× median
0368TNormal range

$28K

645 claims · 0.0%

Your Cost: $44.18/claim|Median: $44.63
1.0× median

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