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CITY OF PROVIDENCE RHODE ISLAND

Local Education Agency (LEA)·PROVIDENCE, RI·NPI: 1366570384Share

Compared to Local Education Agency (LEA) Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.6M is at the 25th percentile among 12 Local Education Agency (LEA) providers.

Active Billing Period:2018-01→2024-10(80 months)

Total Paid

$18.6M

$18,601,361

Total Claims

769K

Beneficiaries

290K

2.7 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+6%
2019
$2.7M
-41%
2020
$1.6M
+93%
2021
$3.1M
+3%
2022
$3.2M
+3%
2023
$3.3M
-28%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 60% of total spending.

S5125Normal range

Attendant care services, per 15 min

$11.1M

158K claims · 59.8%

Your Cost: $70.25/claim|Median: $82.34
0.9× median
X0215Normal range

$2.3M

159K claims · 12.5%

Your Cost: $14.59/claim|Median: $17.89
0.8× median
92508Normal range

Treatment of speech/language disorder, group, 2+ patients

$2.3M

200K claims · 12.2%

Your Cost: $11.33/claim|Median: $13.22
0.9× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$876K

80K claims · 4.7%

Your Cost: $11.02/claim|Median: $12.12
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$521K

33K claims · 2.8%

Your Cost: $15.71/claim|Median: $24.49
0.6× median
96153Top 25%

Health/behavior intervention, group

$339K

23K claims · 1.8%

Your Cost: $14.62/claim|Median: $6.67
2.2× median
92507Normal range

Speech/hearing/language treatment

$310K

19K claims · 1.7%

Your Cost: $16.37/claim|Median: $49.45
0.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$293K

16K claims · 1.6%

Your Cost: $18.37/claim|Median: $74.63
0.2× median
T1002Normal range

RN services, per 15 minutes

$289K

7,799 claims · 1.6%

Your Cost: $37.01/claim|Median: $37.42
1.0× median
T2003Normal range

Non-emergency transport; encounter/trip

$203K

71K claims · 1.1%

Your Cost: $2.87/claim|Median: $21.70
0.1× median
92524Top 10%

Behavioral/qualitative analysis of voice

$37K

376 claims · 0.2%

Your Cost: $97.19/claim|Median: $29.36
3.3× median
97530Normal range

Therapeutic activities, each 15 min

$11K

890 claims · 0.1%

Your Cost: $12.48/claim|Median: $33.11
0.4× median
92523Normal range

Evaluation of speech sound production with language comprehension

$3K

44 claims · 0.0%

Your Cost: $59.05/claim|Median: $110.87
0.5× median
97168Normal range

OT re-evaluation

$710

12 claims · 0.0%

Your Cost: $59.15/claim|Median: $50.43
1.2× median
H004

$0

714 claims · 0.0%

Other Top Providers in Rhode Island

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Rhode Island Hospital

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$380.8M

Dominion Diagnostics, LLC

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$249.2M

The Fogarty Center

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$224.3M

Perspectives Corporation

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$182.9M

The Providence Center INC

Counselor, Mental Health

$170.8M

Similar Providers

Other top providers in Local Education Agency (LEA)

Commonwealth of Pennsylvania Department of Education

West Hazleton, PA

$326.0M

City of New York

Brooklyn, NY

$298.9M

Newark Public Schools

Newark, NJ

$145.8M

The Board of Education of the City of Chicago

Chicago, IL

$123.5M

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