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THE EASTER SEAL SOCIETY OF IOWA, INC.

Voluntary or Charitable·DES MOINES, IA·NPI: 1295739951Share

Compared to Voluntary or Charitable Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.0M is at the below 25th percentile among 13 Voluntary or Charitable providers.

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$26.0M

$26,044,584

Total Claims

76K

Beneficiaries

27K

2.9 claims/patient

Avg Cost/Claim

$342

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-1%
2019
$4.6M
-37%
2020
$2.9M
+7%
2021
$3.1M
+34%
2022
$4.1M
-10%
2023
$3.7M
-16%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 33% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$8.7M

6,007 claims · 33.4%

Your Cost: $1,446.33/claim|Median: $321.53
4.5× median
T2020Top 25%

Day habilitation, waiver; per diem

$7.6M

46K claims · 29.3%

Your Cost: $166.74/claim|Median: $87.34
1.9× median
H2015Top 5%

Comprehensive community support services, per 15 min

$4.2M

7,409 claims · 16.2%

Your Cost: $570.52/claim|Median: $96.24
5.9× median
T2036Normal range

Therapeutic camping, waiver, per diem

$2.6M

6,045 claims · 9.9%

Your Cost: $426.36/claim|Median: $413.93
1.0× median
S5136Top 25%

Companion care, adult, per 15 minutes

$1.0M

298 claims · 3.9%

Your Cost: $3,397.99/claim|Median: $302.34
11.2× median
H2025Top 25%

Ongoing support to maintain employment, per 15 min

$967K

2,965 claims · 3.7%

Your Cost: $326.17/claim|Median: $100.49
3.2× median
T2015Top 25%

Habilitation, prevocational, waiver, per diem

$254K

447 claims · 1.0%

Your Cost: $567.37/claim|Median: $88.27
6.4× median
90834Normal range

Psychotherapy, 45 minutes

$194K

2,908 claims · 0.7%

Your Cost: $66.57/claim|Median: $63.65
1.0× median
T2037Normal range

$192K

1,286 claims · 0.7%

Your Cost: $149.58/claim|Median: $304.73
0.5× median
T1017Normal range

Targeted case management, per 15 min

$185K

1,717 claims · 0.7%

Your Cost: $107.64/claim|Median: $69.56
1.5× median
S9485Normal range

Crisis intervention mental health services, per diem

$61K

154 claims · 0.2%

Your Cost: $395.61/claim|Median: $501.33
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$16K

304 claims · 0.1%

Your Cost: $52.67/claim|Median: $41.28
1.3× median
T2021Normal range

Day habilitation, waiver; per 15 min

$9K

439 claims · 0.0%

Your Cost: $20.49/claim|Median: $150.51
0.1× median
90853Top 25%

Group psychotherapy

$8K

180 claims · 0.0%

Your Cost: $46.72/claim|Median: $25.02
1.9× median
T2018Top 5%

$6K

13 claims · 0.0%

Your Cost: $452.74/claim|Median: $117.28
3.9× median
S9484Normal range

Crisis intervention mental health services, per hour

$5K

57 claims · 0.0%

Your Cost: $87.27/claim|Median: $249.51
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$318

18 claims · 0.0%

Your Cost: $17.67/claim|Median: $99.21
0.2× median

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