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HIGHLIGHTS HEALTHCARE, LLC

Community/Behavioral Health·MOORESVILLE, NC·NPI: 1366047474Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $51.1M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2021-082024-12(41 months)

Total Paid

$51.1M

$51,068,965

Total Claims

161K

Beneficiaries

20K

8.0 claims/patient

Avg Cost/Claim

$317

Monthly Spending Trend

Yearly Spending

2021
$465K
+684%
2022
$3.6M
+355%
2023
$16.6M
+83%
2024
$30.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 76% of total spending.

97153Top 10%

Adaptive behavior treatment by protocol, per 15 min

$38.8M

100K claims · 76.0%

Your Cost: $388.10/claim|Median: $167.38
2.3× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$9.2M

41K claims · 17.9%

Your Cost: $222.72/claim|Median: $146.45
1.5× median
97152Top 25%

$1.6M

5,708 claims · 3.1%

Your Cost: $276.84/claim|Median: $155.16
1.8× median
97151Top 25%

Behavior identification assessment

$996K

4,158 claims · 2.0%

Your Cost: $239.65/claim|Median: $161.10
1.5× median
97156Normal range

$317K

5,303 claims · 0.6%

Your Cost: $59.74/claim|Median: $88.65
0.7× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$178K

4,426 claims · 0.3%

Your Cost: $40.32/claim|Median: $55.95
0.7× median
97157Normal range

$2K

57 claims · 0.0%

Your Cost: $34.93/claim|Median: $43.58
0.8× median