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Ablelight Inc.

Intermediate Care Facility, Intellectual Disabilities·Watertown, WI·NPI: 1417010604Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$125.1M

$125,120,490

Total Claims

389K

Beneficiaries

46K

8.5 claims/patient

Avg Cost/Claim

$322

#944 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Ablelight Inc. is a Intermediate Care Facility, Intellectual Disabilities provider based in Watertown, WI. From the 2018–2024 period, this provider received $125.1M in Medicaid payments across 389K claims.

Why This Matters

This provider received $125.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,640 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 53% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$13.6M
+39%
2019
$19.0M
+4%
2020
$19.7M
-24%
2021
$15.0M
-5%
2022
$14.3M
+60%
2023
$22.8M
-9%
2024
$20.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 66% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$82.7M

180K claims · 66.1%

Your Cost: $459.14/claim|Median: $331.94
1.4× median
S5140Normal range

Foster care, adult; per diem

$14.9M

56K claims · 11.9%

Your Cost: $267.23/claim|Median: $252.32
1.1× median
H2016Normal range

Comprehensive community support services, per 15 min

$12.4M

33K claims · 9.9%

Your Cost: $381.17/claim|Median: $321.53
1.2× median
A0429Top 1%

Ambulance, BLS emergency transport

$3.5M

1K claims · 2.8%

Your Cost: $3,298.31/claim|Median: $138.19
23.9× median
T2021Normal range

Day habilitation, waiver; per 15 min

$2.9M

39K claims · 2.3%

Your Cost: $73.85/claim|Median: $150.51
0.5× median
0169Normal range

$1.5M

4K claims · 1.2%

Your Cost: $358.63/claim|Median: $400.28
0.9× median
T2020Top 25%

Day habilitation, waiver; per diem

$1.1M

4K claims · 0.9%

Your Cost: $268.12/claim|Median: $87.34
3.1× median
S5151Top 25%

Unskilled respite care, per diem

$1.1M

2K claims · 0.8%

Your Cost: $430.43/claim|Median: $249.18
1.7× median
T2033Normal range

Residential care, NOS; per diem

$860K

2K claims · 0.7%

Your Cost: $424.96/claim|Median: $1,051.57
0.4× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$858K

8K claims · 0.7%

Your Cost: $112.71/claim|Median: $88.91
1.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$851K

13K claims · 0.7%

Your Cost: $65.67/claim|Median: $84.12
0.8× median
T2003Normal range

Non-emergency transport; encounter/trip

$764K

30K claims · 0.6%

Your Cost: $25.67/claim|Median: $21.70
1.2× median
0101Normal range

$478K

315 claims · 0.4%

Your Cost: $1,516.96/claim|Median: $3,098.15
0.5× median
T2002Top 10%

Non-emergency transport; per trip

$418K

3K claims · 0.3%

Your Cost: $125.90/claim|Median: $19.35
6.5× median
T2022Normal range

Case management, per month

$369K

3K claims · 0.3%

Your Cost: $110.15/claim|Median: $202.77
0.5× median
T1020Normal range

Personal care services, per diem

$323K

8K claims · 0.3%

Your Cost: $42.49/claim|Median: $296.27
0.1× median
H2014Top 25%

Skills training & development, per 15 min

$84K

453 claims · 0.1%

Your Cost: $185.67/claim|Median: $83.88
2.2× median
T2024Normal range

Supported employment, waiver, per diem

$78K

658 claims · 0.1%

Your Cost: $118.27/claim|Median: $259.38
0.5× median
T2028Normal range

Specialized supply, NOS; per unit

$11K

272 claims · 0.0%

Your Cost: $39.86/claim|Median: $79.30
0.5× median
T2034Normal range

Crisis intervention, per 15 min

$0

863 claims · 0.0%

Your Cost: $0.00/claim|Median: $254.45
0180Normal range

$0

492 claims · 0.0%

Your Cost: $0.00/claim|Median: $1,053.93

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