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EASTER SEALS RIO GRANDE VALLEY

Clinic/Center, Developmental Disabilities·MCALLEN, TX·NPI: 1427172782Share

Compared to Clinic/Center, Developmental Disabilities Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.1M is at the below 25th percentile among 8 Clinic/Center, Developmental Disabilities providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.1M

$25,062,762

Total Claims

279K

Beneficiaries

189K

1.5 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+8%
2019
$1.3M
+45%
2020
$2.0M
+149%
2021
$4.9M
+2%
2022
$5.0M
+9%
2023
$5.4M
-4%
2024
$5.2M

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 33% of total spending.

T1027Top 25%

Family training and counseling, per 15 minutes

$8.3M

89K claims · 33.0%

Your Cost: $92.92/claim|Median: $53.00
1.8× median
92507Top 5%

Speech/hearing/language treatment

$7.5M

62K claims · 30.0%

Your Cost: $120.54/claim|Median: $49.45
2.4× median
T1017Normal range

Targeted case management, per 15 min

$3.4M

69K claims · 13.4%

Your Cost: $48.51/claim|Median: $69.56
0.7× median
97530Top 10%

Therapeutic activities, each 15 min

$2.5M

26K claims · 10.1%

Your Cost: $98.07/claim|Median: $33.11
3.0× median
97110Top 5%

Therapeutic exercises, each 15 min

$1.4M

15K claims · 5.7%

Your Cost: $95.63/claim|Median: $24.49
3.9× median
97112Top 1%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$703K

7,518 claims · 2.8%

Your Cost: $93.55/claim|Median: $20.04
4.7× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$659K

3,621 claims · 2.6%

Your Cost: $181.95/claim|Median: $110.87
1.6× median
97167Top 25%

OT evaluation, high complexity

$287K

2,294 claims · 1.1%

Your Cost: $124.90/claim|Median: $70.96
1.8× median
97166Top 10%

OT evaluation, moderate complexity

$102K

808 claims · 0.4%

Your Cost: $126.56/claim|Median: $48.74
2.6× median
92526Top 5%

Treatment of swallowing dysfunction and/or oral function

$74K

574 claims · 0.3%

Your Cost: $129.60/claim|Median: $49.74
2.6× median
S9470Normal range

Nutritional counseling

$35K

1,599 claims · 0.1%

Your Cost: $21.92/claim|Median: $16.62
1.3× median
97535Top 10%

Self-care/home management training, per 15 minutes

$32K

386 claims · 0.1%

Your Cost: $81.61/claim|Median: $18.18
4.5× median
S9152Top 5%

Speech therapy, re-evaluation

$30K

195 claims · 0.1%

Your Cost: $156.10/claim|Median: $92.99
1.7× median
97168Top 10%

OT re-evaluation

$10K

91 claims · 0.0%

Your Cost: $108.85/claim|Median: $50.43
2.2× median
97165Top 10%

OT evaluation, low complexity

$2K

12 claims · 0.0%

Your Cost: $128.53/claim|Median: $46.78
2.7× median

Other Top Providers in Texas

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Girling Health Care Inc.

Home Health

$858.2M

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$708.5M

Consumer Directed Services in Texas Inc.

Supports Brokerage

$624.8M

Caregivers Home Health TX INC

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$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

Similar Providers

Other top providers in Clinic/Center, Developmental Disabilities

Northern Human Services

Conway, NH

$172.9M

The Nemours Foundation

Wilmington, DE

$172.1M

Behavioral Health and Developmental Services of Strafford County, INC

Dover, NH

$169.7M

Integrated Community Services, Inc.

Washington, DC

$145.7M

Oaks Integrated Care, INC

Lumberton, NJ

$137.0M

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