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

⚖️ Compare🖨️ Print Report

COMMUNITY LIVING SERVICES, INC

Community/Behavioral Health·FARGO, ND·NPI: 1326657602Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $104.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$104.6M

$104,567,393

Total Claims

420K

Beneficiaries

38K

11.1 claims/patient

Avg Cost/Claim

$249

Monthly Spending Trend

Yearly Spending

2018
$18.2M
+9%
2019
$19.8M
-20%
2020
$15.8M
-10%
2021
$14.3M
-11%
2022
$12.8M
-0%
2023
$12.7M
-13%
2024
$11.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 28% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$29.7M

100K claims · 28.4%

Your Cost: $296.73/claim|Median: $331.94
0.9× median
W0725Normal range

Waiver service, state-specific code

$25.3M

53K claims · 24.2%

Your Cost: $477.72/claim|Median: $5,225.66
0.1× median
W0300Normal range

$10.3M

33K claims · 9.9%

Your Cost: $317.24/claim|Median: $601.96
0.5× median
W0715Normal range

$8.7M

26K claims · 8.4%

Your Cost: $341.53/claim|Median: $441.83
0.8× median
T2021Normal range

Day habilitation, waiver; per 15 min

$7.4M

50K claims · 7.1%

Your Cost: $147.26/claim|Median: $150.51
1.0× median
S5125Top 25%

Attendant care services, per 15 min

$6.4M

35K claims · 6.1%

Your Cost: $183.01/claim|Median: $82.34
2.2× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$5.3M

45K claims · 5.0%

Your Cost: $118.25/claim|Median: $137.32
0.9× median
W0720Normal range

$4.1M

26K claims · 3.9%

Your Cost: $154.32/claim|Median: $175.78
0.9× median
W0260Normal range

$2.4M

482 claims · 2.3%

Your Cost: $5,023.59/claim|Median: $4,950.51
1.0× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$2.0M

33K claims · 1.9%

Your Cost: $61.16/claim|Median: $88.91
0.7× median
W0710Normal range

$833K

8,196 claims · 0.8%

Your Cost: $101.65/claim|Median: $150.53
0.7× median
W0705Normal range

$831K

8,752 claims · 0.8%

Your Cost: $94.93/claim|Median: $115.86
0.8× median
W0200Normal range

$817K

458 claims · 0.8%

Your Cost: $1,783.42/claim|Median: $1,957.11
0.9× median
W0730Normal range

$254K

1,054 claims · 0.2%

Your Cost: $240.70/claim|Median: $758.50
0.3× median
S5150Top 25%

Unskilled respite care, per 15 min

$114K

767 claims · 0.1%

Your Cost: $149.18/claim|Median: $84.46
1.8× median
W0270Top 1%

$82K

134 claims · 0.1%

Your Cost: $608.37/claim|Median: $608.37
1.0× median
W0210Normal range

$66K

203 claims · 0.1%

Your Cost: $324.61/claim|Median: $671.30
0.5× median

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providersAll providers in North Dakota →How we detect fraud →