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HEALTHWAYS INC

Community/Behavioral Health·WEIRTON, WV·NPI: 1366656225Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$40.8M

$40,786,178

Total Claims

62K

Beneficiaries

44K

1.4 claims/patient

Avg Cost/Claim

$658

Monthly Spending Trend

Yearly Spending

2018
$7.0M
-7%
2019
$6.5M
-4%
2020
$6.3M
-3%
2021
$6.1M
-1%
2022
$6.0M
-10%
2023
$5.4M
-31%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 69% of total spending.

S5125Top 5%

Attendant care services, per 15 min

$28.3M

16K claims · 69.5%

Your Cost: $1,735.12/claim|Median: $82.34
21.1× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$5.4M

16K claims · 13.3%

Your Cost: $344.58/claim|Median: $150.51
2.3× median
T1005Top 1%

Respite care services, per 15 minutes

$3.3M

2,983 claims · 8.0%

Your Cost: $1,091.75/claim|Median: $71.40
15.3× median
A0160Top 5%

$1.1M

7,152 claims · 2.6%

Your Cost: $147.05/claim|Median: $12.60
11.7× median
G9002Top 25%

Coordinated care fee, maintenance period

$928K

4,626 claims · 2.3%

Your Cost: $200.52/claim|Median: $108.80
1.8× median
T1016Top 25%

Case management, each 15 min

$859K

6,459 claims · 2.1%

Your Cost: $133.01/claim|Median: $49.62
2.7× median
A0120Top 10%

Non-emergency mini-bus transport

$613K

3,168 claims · 1.5%

Your Cost: $193.40/claim|Median: $16.09
12.0× median
T1002Normal range

RN services, per 15 minutes

$143K

2,038 claims · 0.4%

Your Cost: $70.07/claim|Median: $37.42
1.9× median
T2024Normal range

Supported employment, waiver, per diem

$108K

2,075 claims · 0.3%

Your Cost: $52.12/claim|Median: $259.38
0.2× median
T1003Normal range

LPN/LVN services, per 15 minutes

$46K

1,339 claims · 0.1%

Your Cost: $34.68/claim|Median: $24.24
1.4× median