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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

Community/Behavioral Health·AUSTIN, TX·NPI: 1336340157Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.3M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.3M

$31,274,454

Total Claims

225K

Beneficiaries

22K

10.4 claims/patient

Avg Cost/Claim

$139

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-8%
2019
$1.6M
-17%
2020
$1.4M
+346%
2021
$6.1M
+22%
2022
$7.4M
-5%
2023
$7.1M
-17%
2024
$5.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 33 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 42% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$13.1M

62K claims · 41.8%

Your Cost: $211.92/claim|Median: $321.53
0.7× median
T2026Normal range

Specialized transportation, waiver, per trip

$7.8M

54K claims · 24.9%

Your Cost: $144.34/claim|Median: $170.05
0.8× median
M0151Normal range

$2.3M

11K claims · 7.2%

Your Cost: $196.32/claim|Median: $197.71
1.0× median
M0152Normal range

$1.0M

5,929 claims · 3.3%

Your Cost: $174.65/claim|Median: $174.64
1.0× median
H2014Normal range

Skills training & development, per 15 min

$830K

18K claims · 2.7%

Your Cost: $47.12/claim|Median: $83.88
0.6× median
M0150Normal range

$787K

4,878 claims · 2.5%

Your Cost: $161.26/claim|Median: $161.06
1.0× median
H2032Top 5%

Activity therapy, per 15 minutes

$760K

1,017 claims · 2.4%

Your Cost: $746.85/claim|Median: $108.23
6.9× median
97124Top 5%

$634K

1,753 claims · 2.0%

Your Cost: $361.72/claim|Median: $17.78
20.3× median
M0124Normal range

$631K

5,297 claims · 2.0%

Your Cost: $119.18/claim|Median: $119.18
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$544K

11K claims · 1.7%

Your Cost: $49.76/claim|Median: $87.34
0.6× median
M0123Top 1%

$477K

6,269 claims · 1.5%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0117Top 10%

$447K

8,589 claims · 1.4%

Your Cost: $52.02/claim|Median: $47.85
1.1× median
M0125Top 1%

$301K

3,201 claims · 1.0%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
G0176Top 25%

Activity therapy (group), per session

$299K

1,478 claims · 1.0%

Your Cost: $202.28/claim|Median: $85.09
2.4× median
M0122Top 1%

$266K

3,669 claims · 0.9%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0116Top 5%

$218K

6,140 claims · 0.7%

Your Cost: $35.42/claim|Median: $32.07
1.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$195K

2,253 claims · 0.6%

Your Cost: $86.67/claim|Median: $84.12
1.0× median
M0118Top 5%

$183K

4,293 claims · 0.6%

Your Cost: $42.58/claim|Median: $38.00
1.1× median
T1002Normal range

RN services, per 15 minutes

$148K

4,980 claims · 0.5%

Your Cost: $29.64/claim|Median: $37.42
0.8× median
G0648Normal range

$73K

2,448 claims · 0.2%

Your Cost: $29.70/claim|Median: $13.92
2.1× median
M0299Normal range

$69K

2,009 claims · 0.2%

Your Cost: $34.26/claim|Median: $34.98
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$57K

57 claims · 0.2%

Your Cost: $999.47/claim|Median: $24.34
41.1× median
M0133Normal range

$48K

701 claims · 0.2%

Your Cost: $68.75/claim|Median: $84.70
0.8× median
A9153Normal range

$33K

677 claims · 0.1%

Your Cost: $49.40/claim|Median: $45.63
1.1× median
G0649Top 1%

$29K

401 claims · 0.1%

Your Cost: $72.23/claim|Median: $71.11
1.0× median
M0113Top 1%

$28K

27 claims · 0.1%

Your Cost: $1,044.27/claim|Median: $397.30
2.6× median
T1003Normal range

LPN/LVN services, per 15 minutes

$28K

1,384 claims · 0.1%

Your Cost: $20.32/claim|Median: $24.24
0.8× median
M0101Normal range

$16K

511 claims · 0.1%

Your Cost: $30.80/claim|Median: $65.66
0.5× median
M0298Top 25%

$10K

521 claims · 0.0%

Your Cost: $19.31/claim|Median: $13.85
1.4× median
M0248Normal range

$5K

1,158 claims · 0.0%

Your Cost: $4.37/claim|Median: $5.31
0.8× median
G0650Top 1%

$3K

27 claims · 0.0%

Your Cost: $122.65/claim|Median: $122.65
1.0× median
M0315Top 5%

$3K

38 claims · 0.0%

Your Cost: $67.08/claim|Median: $29.80
2.3× median
S5199Normal range

Personal care item, NOS, each

$795

17 claims · 0.0%

Your Cost: $46.78/claim|Median: $10.82
4.3× median

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$708.5M

Consumer Directed Services in Texas Inc.

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$624.8M

Caregivers Home Health TX INC

Nursing Care

$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

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$2.68B

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$2.25B

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$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

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$1.34B

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