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Spectrum for Living Development, Inc.

Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child·River Vale, NJ·NPI: 1407998842Share

Compared to Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $161.7M is at the 99th percentile among 5 Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child providers.

Above 99th percentile for this specialty — higher spending than 4 of 5 peers

Active Billing Period:2018-012024-12(84 months)

Total Paid

$161.7M

$161,692,389

Total Claims

538K

Beneficiaries

30K

17.9 claims/patient

Avg Cost/Claim

$300

#637 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Spectrum for Living Development, Inc. is a Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child provider based in River Vale, NJ. From the 2018–2024 period, this provider received $161.7M in Medicaid payments across 538K claims.

Why This Matters

This provider received $161.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,211 Medicaid beneficiaries for a full year at average per-enrollee costs.

123% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$13.5M
+75%
2019
$23.6M
-14%
2020
$20.3M
+4%
2021
$21.0M
+17%
2022
$24.5M
+18%
2023
$28.8M
+4%
2024
$30.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 81% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$130.2M

323K claims · 80.5%

Your Cost: $403.49/claim|Median: $321.53
1.3× median
T2021Normal range

Day habilitation, waiver; per 15 min

$30.9M

203K claims · 19.1%

Your Cost: $151.91/claim|Median: $150.51
1.0× median
H2021Normal range

Community-based wrap-around services, per 15 min

$268K

4K claims · 0.2%

Your Cost: $69.59/claim|Median: $169.11
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$174K

5K claims · 0.1%

Your Cost: $35.12/claim|Median: $74.63
0.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$72K

1K claims · 0.0%

Your Cost: $69.85/claim|Median: $96.24
0.7× median
A0090Normal range

Non-emergency transport, per mile

$23K

2K claims · 0.0%

Your Cost: $14.06/claim|Median: $10.45
1.4× median
92507Normal range

Speech/hearing/language treatment

$15K

499 claims · 0.0%

Your Cost: $29.99/claim|Median: $49.45
0.6× median
97535Top 25%

Self-care/home management training, per 15 minutes

$5K

139 claims · 0.0%

Your Cost: $35.06/claim|Median: $18.18
1.9× median
S8990Normal range

$1K

20 claims · 0.0%

Your Cost: $64.81/claim|Median: $78.36
0.8× median

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