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CAPITAL CARE, INC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·SILVER SPRING, MD·NPI: 1366527111Share

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 $101.9M 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

$101.9M

$101,921,264

Total Claims

272K

Beneficiaries

14K

19.7 claims/patient

Avg Cost/Claim

$375

Monthly Spending Trend

Yearly Spending

2018
$12.2M
+14%
2019
$13.9M
+0%
2020
$14.0M
-1%
2021
$13.9M
+13%
2022
$15.6M
+9%
2023
$17.1M
-10%
2024
$15.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 74% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$75.8M

128K claims · 74.4%

Your Cost: $591.45/claim|Median: $331.94
1.8× median
H0025Top 5%

Behavioral health prevention education, per session

$10.4M

29K claims · 10.2%

Your Cost: $363.84/claim|Median: $36.25
10.0× median
S5135Top 25%

Companion care, adult, per diem

$10.1M

66K claims · 9.9%

Your Cost: $153.50/claim|Median: $52.25
2.9× median
T2021Normal range

Day habilitation, waiver; per 15 min

$4.0M

26K claims · 3.9%

Your Cost: $155.49/claim|Median: $150.51
1.0× median
T2015Normal range

Habilitation, prevocational, waiver, per diem

$1.6M

16K claims · 1.5%

Your Cost: $99.47/claim|Median: $88.27
1.1× median
S9977Normal range

Home infusion therapy, unspecified

$39K

5,701 claims · 0.0%

Your Cost: $6.85/claim|Median: $19.91
0.3× median
S5170Normal range

Homemaker service, NOS, per diem

$10K

2,104 claims · 0.0%

Your Cost: $4.62/claim|Median: $19.89
0.2× median

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