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Hammer Residences, Inc.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Wayzata, MN·NPI: 1356427397Share

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $147.8M is at the 50th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

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

Total Paid

$147.8M

$147,838,998

Total Claims

860K

Beneficiaries

80K

10.8 claims/patient

Avg Cost/Claim

$172

#730 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Hammer Residences, Inc. is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider based in Wayzata, MN. From the 2018–2024 period, this provider received $147.8M in Medicaid payments across 860K claims.

Why This Matters

This provider received $147.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,479 Medicaid beneficiaries for a full year at average per-enrollee costs.

37% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.0M
+1%
2019
$17.3M
+5%
2020
$18.2M
+13%
2021
$20.6M
+9%
2022
$22.4M
+30%
2023
$29.1M
-20%
2024
$23.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (S5140 (Foster care, adult; per diem)) accounts for 36% of total spending.

S5140Normal range

Foster care, adult; per diem

$52.6M

191K claims · 35.6%

Your Cost: $275.33/claim|Median: $252.32
1.1× median
T2016Normal range

Habilitation, residential, waiver; per diem

$52.1M

255K claims · 35.3%

Your Cost: $204.24/claim|Median: $331.94
0.6× median
T2034Normal range

Crisis intervention, per 15 min

$19.8M

94K claims · 13.4%

Your Cost: $211.70/claim|Median: $254.45
0.8× median
T1016Normal range

Case management, each 15 min

$13.8M

212K claims · 9.3%

Your Cost: $65.03/claim|Median: $49.62
1.3× median
T1020Normal range

Personal care services, per diem

$7.0M

53K claims · 4.7%

Your Cost: $132.39/claim|Median: $296.27
0.5× median
H2014Normal range

Skills training & development, per 15 min

$1.2M

40K claims · 0.8%

Your Cost: $29.31/claim|Median: $83.88
0.3× median
S5125Top 25%

Attendant care services, per 15 min

$897K

6K claims · 0.6%

Your Cost: $147.56/claim|Median: $82.34
1.8× median
T2003Top 25%

Non-emergency transport; encounter/trip

$442K

10K claims · 0.3%

Your Cost: $46.45/claim|Median: $21.70
2.1× median

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