Active Billing Period:2019-06→2024-12(67 months)
Total Paid
$44.9M
$44,891,291
Total Claims
70K
Beneficiaries
5,708
12.3 claims/patient
Avg Cost/Claim
$642
Monthly Spending Trend
Yearly Spending
2019
$1.4M
+170%
2020
$3.7M
+69%
2021
$6.3M
+72%
2022
$10.7M
+34%
2023
$14.4M
-41%
2024
$8.5M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 66% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$29.7M
62K claims
$478.12
$331.94
1.4×
Normal range
T2016Normal range
Habilitation, residential, waiver; per diem
$29.7M
62K claims · 66.1%
Your Cost: $478.12/claim|Median: $331.94
1.4× median$13.2M
6,086 claims
$2,168.41
$169.11
12.8×
Top 5%
H2021Top 5%
Community-based wrap-around services, per 15 min
$13.2M
6,086 claims · 29.4%
Your Cost: $2,168.41/claim|Median: $169.11
12.8× median$2.0M
1,811 claims
$1,122.42
$1,051.57
1.1×
Normal range
T2033Normal range
Residential care, NOS; per diem
$2.0M
1,811 claims · 4.5%
Your Cost: $1,122.42/claim|Median: $1,051.57
1.1× medianT1002Top 25%
RN services, per 15 minutes
$5K
51 claims · 0.0%
Your Cost: $98.75/claim|Median: $37.42
2.6× medianOther Top Providers in New Mexico
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