Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

CHESTER COUNTY INTERMEDIATE UNIT

Local Education Agency (LEA)·DOWNINGTOWN, PA·NPI: 1295783066Share

Compared to Local Education Agency (LEA) Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.0M is at the 25th percentile among 12 Local Education Agency (LEA) providers.

Active Billing Period:2018-012024-12(78 months)

Total Paid

$24.0M

$23,988,871

Total Claims

157K

Beneficiaries

32K

4.8 claims/patient

Avg Cost/Claim

$153

Monthly Spending Trend

Yearly Spending

2018
$24K
+53%
2019
$37K
+1715%
2020
$665K
+325%
2021
$2.8M
+135%
2022
$6.6M
+6%
2023
$7.1M
-5%
2024
$6.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 66% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$15.8M

78K claims · 66.0%

Your Cost: $202.97/claim|Median: $167.38
1.2× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$2.1M

12K claims · 8.6%

Your Cost: $177.25/claim|Median: $146.45
1.2× median
97151Normal range

Behavior identification assessment

$1.7M

11K claims · 6.9%

Your Cost: $155.06/claim|Median: $161.10
1.0× median
97156Top 25%

$1.7M

12K claims · 6.9%

Your Cost: $140.50/claim|Median: $88.65
1.6× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$631K

9,023 claims · 2.6%

Your Cost: $69.90/claim|Median: $148.53
0.5× median
H2021Normal range

Community-based wrap-around services, per 15 min

$543K

11K claims · 2.3%

Your Cost: $47.55/claim|Median: $169.11
0.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$447K

5,818 claims · 1.9%

Your Cost: $76.76/claim|Median: $84.12
0.9× median
T2024Normal range

Supported employment, waiver, per diem

$360K

5,420 claims · 1.5%

Your Cost: $66.36/claim|Median: $259.38
0.3× median
W7226Normal range

$357K

3,460 claims · 1.5%

Your Cost: $103.16/claim|Median: $104.70
1.0× median
H0046Normal range

Mental health services, not otherwise specified

$203K

5,273 claims · 0.8%

Your Cost: $38.52/claim|Median: $85.02
0.5× median
H0032Normal range

Mental health service plan development

$154K

2,342 claims · 0.6%

Your Cost: $65.60/claim|Median: $80.64
0.8× median
W9352Normal range

$44K

704 claims · 0.2%

Your Cost: $61.97/claim|Median: $103.28
0.6× median
H0031Normal range

Mental health assessment by non-physician

$24K

1,026 claims · 0.1%

Your Cost: $23.79/claim|Median: $96.18
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$15K

227 claims · 0.1%

Your Cost: $68.04/claim|Median: $99.21
0.7× median