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

RESIDENTIAL OPTIONS, INC.

Behavior Analyst·LANSING, MI·NPI: 1336475532Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.8M is at the 75th percentile among 31 Behavior Analyst providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$53.8M

$53,775,847

Total Claims

588K

Beneficiaries

32K

18.5 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$7.5M
+12%
2019
$8.4M
-14%
2020
$7.3M
+9%
2021
$8.0M
-3%
2022
$7.7M
+8%
2023
$8.3M
-21%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 21% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$11.4M

177K claims · 21.2%

Your Cost: $64.20/claim|Median: $96.24
0.7× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$11.1M

80K claims · 20.6%

Your Cost: $137.76/claim|Median: $167.38
0.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$9.9M

62K claims · 18.4%

Your Cost: $160.84/claim|Median: $321.53
0.5× median
H0043Normal range

Supported housing, per diem

$6.8M

44K claims · 12.7%

Your Cost: $154.05/claim|Median: $164.87
0.9× median
T2027Normal range

Specialized transportation, waiver, per trip, extra

$4.6M

72K claims · 8.5%

Your Cost: $63.68/claim|Median: $88.93
0.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$3.8M

33K claims · 7.0%

Your Cost: $113.19/claim|Median: $146.45
0.8× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$2.0M

16K claims · 3.7%

Your Cost: $129.13/claim|Median: $106.05
1.2× median
T1020Normal range

Personal care services, per diem

$1.9M

61K claims · 3.5%

Your Cost: $30.52/claim|Median: $296.27
0.1× median
97156Normal range

$400K

4,751 claims · 0.7%

Your Cost: $84.24/claim|Median: $88.65
1.0× median
0369TNormal range

$366K

4,285 claims · 0.7%

Your Cost: $85.48/claim|Median: $102.36
0.8× median
H0032Normal range

Mental health service plan development

$361K

4,803 claims · 0.7%

Your Cost: $75.12/claim|Median: $80.64
0.9× median
0364TNormal range

$328K

15K claims · 0.6%

Your Cost: $22.60/claim|Median: $21.31
1.1× median
97151Top 25%

Behavior identification assessment

$311K

1,087 claims · 0.6%

Your Cost: $286.22/claim|Median: $161.10
1.8× median
0368TNormal range

$304K

5,819 claims · 0.6%

Your Cost: $52.18/claim|Median: $44.63
1.2× median
97158Normal range

$107K

5,919 claims · 0.2%

Your Cost: $18.03/claim|Median: $56.17
0.3× median
0359TNormal range

$86K

197 claims · 0.2%

Your Cost: $435.70/claim|Median: $444.44
1.0× median
0370TNormal range

$67K

641 claims · 0.1%

Your Cost: $104.73/claim|Median: $88.49
1.2× median
S5111Normal range

Home care training, family member, per session

$6K

94 claims · 0.0%

Your Cost: $67.76/claim|Median: $87.13
0.8× median