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VILLA NAZARETH

Community/Behavioral Health·FARGO, ND·NPI: 1407443245Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $84.2M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$84.2M

$84,181,412

Total Claims

201K

Beneficiaries

16K

12.8 claims/patient

Avg Cost/Claim

$418

Monthly Spending Trend

Yearly Spending

2018
$10.6M
+12%
2019
$11.9M
-3%
2020
$11.5M
+6%
2021
$12.2M
-3%
2022
$11.9M
+9%
2023
$13.0M
+1%
2024
$13.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 43% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$36.3M

84K claims · 43.2%

Your Cost: $434.02/claim|Median: $331.94
1.3× median
W0725Top 1%

Waiver service, state-specific code

$23.6M

2,770 claims · 28.0%

Your Cost: $8,508.76/claim|Median: $5,225.66
1.6× median
T2021Normal range

Day habilitation, waiver; per 15 min

$9.5M

47K claims · 11.2%

Your Cost: $201.48/claim|Median: $150.51
1.3× median
W0715Top 25%

$4.4M

7,925 claims · 5.2%

Your Cost: $556.81/claim|Median: $441.83
1.3× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$2.4M

29K claims · 2.9%

Your Cost: $83.20/claim|Median: $88.91
0.9× median
W0700Normal range

$2.1M

6,135 claims · 2.5%

Your Cost: $337.81/claim|Median: $265.11
1.3× median
T2047Normal range

$2.0M

15K claims · 2.4%

Your Cost: $134.59/claim|Median: $127.20
1.1× median
W0230Top 1%

$1.2M

136 claims · 1.4%

Your Cost: $8,859.82/claim|Median: $6,181.32
1.4× median
W0705Top 25%

$858K

5,777 claims · 1.0%

Your Cost: $148.56/claim|Median: $115.86
1.3× median
W0200Top 1%

$632K

140 claims · 0.8%

Your Cost: $4,517.84/claim|Median: $1,957.11
2.3× median
W0710Normal range

$542K

3,756 claims · 0.6%

Your Cost: $144.33/claim|Median: $150.53
1.0× median
W0260Top 25%

$440K

78 claims · 0.5%

Your Cost: $5,646.49/claim|Median: $4,950.51
1.1× median
W0210Normal range

$181K

174 claims · 0.2%

Your Cost: $1,042.61/claim|Median: $671.30
1.6× median
W0730Top 1%

$80K

77 claims · 0.1%

Your Cost: $1,034.14/claim|Median: $758.50
1.4× median

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