EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Compared to Community/Behavioral Health Peers
Total spending distribution among 218 providers in this specialty
This provider's total spending of $58.3M is at the 50th percentile among 218 Community/Behavioral Health providers.
Total Paid
$58.3M
$58,302,470
Total Claims
329K
Beneficiaries
45K
7.3 claims/patient
Avg Cost/Claim
$177
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 32 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 24% of total spending.
$13.8M
57K claims
$242.58
$266.41
Assertive community treatment, face-to-face, per 15 minutes
$13.8M
57K claims · 23.7%
$7.6M
32K claims
$236.93
$336.31
Community-based wrap-around services, per diem
$7.6M
32K claims · 13.1%
$6.7M
44K claims
$153.21
$216.31
Foster care, therapeutic, child, per diem
$6.7M
44K claims · 11.6%
$6.4M
42K claims
$150.39
$158.23
Habilitation, residential, waiver, per hour
$6.4M
42K claims · 10.9%
$3.8M
24K claims
$159.43
$177.54
Habilitation, educational; per 15 min
$3.8M
24K claims · 6.5%
Supported employment, per 15 min
$3.7M
24K claims · 6.3%
$3.2M
8,626 claims
$367.46
$227.82
Multisystemic therapy for juveniles, per 15 minutes
$3.2M
8,626 claims · 5.4%
$3.1M
20K claims
$153.87
$100.49
Ongoing support to maintain employment, per 15 min
$3.1M
20K claims · 5.2%
$2.6M
20K claims
$131.24
$96.24
Comprehensive community support services, per 15 min
$2.6M
20K claims · 4.4%
Psychotherapy, 60 minutes
$1.4M
18K claims · 2.4%
$1.2M
8,181 claims
$151.69
$150.51
Day habilitation, waiver; per 15 min
$1.2M
8,181 claims · 2.1%
$1.1M
3,925 claims
$289.67
$69.56
Targeted case management, per 15 min
$1.1M
3,925 claims · 2.0%
$1.1M
3,066 claims
$349.66
$55.04
Self-help/peer services, per 15 minutes
$1.1M
3,066 claims · 1.8%
$693K
5,428 claims
$127.67
$84.46
Unskilled respite care, per 15 min
$693K
5,428 claims · 1.2%
$423K
1,792 claims
$236.04
$321.53
Comprehensive community support services, per 15 min
$423K
1,792 claims · 0.7%
$377K
2,028 claims
$185.72
$124.39
Waiver services, NOS; per 15 min
$377K
2,028 claims · 0.6%
$361K
3,593 claims
$100.35
$119.19
Respite care services, not in the home, per diem
$361K
3,593 claims · 0.6%
$334K
4,482 claims
$74.45
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$334K
4,482 claims · 0.6%
$116K
1,255 claims
$92.49
$99.21
Psychiatric diagnostic evaluation
$116K
1,255 claims · 0.2%
$100K
1,495 claims
$66.92
$77.33
Family psychotherapy with patient, 50 min
$100K
1,495 claims · 0.2%
$72K
426 claims
$168.36
$162.29
Supports brokerage, self-directed; per 15 min
$72K
426 claims · 0.1%
$64K
1,506 claims
$42.76
$82.47
Personal care services, per 15 min
$64K
1,506 claims · 0.1%
$60K
1,326 claims · 0.1%
Psychotherapy, 45 minutes
$23K
422 claims · 0.0%
Psychotherapy, 30 minutes
$9K
269 claims · 0.0%
$6K
58 claims
$95.40
$74.09
Office/outpatient visit, high complexity
$6K
58 claims · 0.0%
$5K
39 claims
$137.90
$111.09
Office/outpatient visit, new patient, high complexity
$5K
39 claims · 0.0%
$3K
57 claims
$58.16
$76.61
Family psychotherapy without patient, 50 min
$3K
57 claims · 0.0%
Office consultation, low complexity
$1K
13 claims · 0.0%
$128
14 claims · 0.0%
$4
441 claims
$0.01
$76.05
Community psychiatric supportive treatment, per 15 min
$4
441 claims · 0.0%
Group psychotherapy
$0
17 claims · 0.0%
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