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EASTER SEALS OF GREATER HOUSTON, INC.

Clinic/Center, Developmental Disabilities·HOUSTON, TX·NPI: 1417965252Share

Compared to Clinic/Center, Developmental Disabilities Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.8M is at the below 25th percentile among 8 Clinic/Center, Developmental Disabilities providers.

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

Total Paid

$29.8M

$29,760,326

Total Claims

262K

Beneficiaries

169K

1.5 claims/patient

Avg Cost/Claim

$114

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-0%
2019
$2.8M
+16%
2020
$3.2M
+25%
2021
$4.0M
+30%
2022
$5.2M
+15%
2023
$5.9M
+1%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (T1027 (Family training and counseling, per 15 minutes)) accounts for 40% of total spending.

T1027Top 5%

Family training and counseling, per 15 minutes

$12.0M

99K claims · 40.4%

Your Cost: $121.82/claim|Median: $53.00
2.3× median
T1017Normal range

Targeted case management, per 15 min

$6.4M

76K claims · 21.5%

Your Cost: $83.81/claim|Median: $69.56
1.2× median
97110Top 1%

Therapeutic exercises, each 15 min

$2.9M

22K claims · 9.7%

Your Cost: $132.43/claim|Median: $24.49
5.4× median
97530Top 5%

Therapeutic activities, each 15 min

$2.6M

19K claims · 8.8%

Your Cost: $134.81/claim|Median: $33.11
4.1× median
92507Top 5%

Speech/hearing/language treatment

$2.4M

22K claims · 8.2%

Your Cost: $109.92/claim|Median: $49.45
2.2× median
T2022Normal range

Case management, per month

$1.9M

11K claims · 6.5%

Your Cost: $179.82/claim|Median: $202.77
0.9× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$757K

4,350 claims · 2.5%

Your Cost: $174.12/claim|Median: $110.87
1.6× median
97165Top 10%

OT evaluation, low complexity

$154K

1,266 claims · 0.5%

Your Cost: $121.40/claim|Median: $46.78
2.6× median
97166Top 10%

OT evaluation, moderate complexity

$152K

1,249 claims · 0.5%

Your Cost: $121.52/claim|Median: $48.74
2.5× median
97161Top 10%

Physical therapy evaluation, low complexity

$144K

1,164 claims · 0.5%

Your Cost: $123.44/claim|Median: $47.89
2.6× median
97162Top 10%

PT evaluation, moderate complexity

$139K

1,154 claims · 0.5%

Your Cost: $120.45/claim|Median: $46.10
2.6× median
S9470Normal range

Nutritional counseling

$64K

2,559 claims · 0.2%

Your Cost: $25.06/claim|Median: $16.62
1.5× median
92508Top 5%

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

$49K

1,128 claims · 0.2%

Your Cost: $43.09/claim|Median: $13.22
3.3× median
92526Top 5%

Treatment of swallowing dysfunction and/or oral function

$4K

30 claims · 0.0%

Your Cost: $136.95/claim|Median: $49.74
2.8× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$3K

133 claims · 0.0%

Your Cost: $20.02/claim|Median: $24.33
0.8× median