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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·AUSTIN, TX·NPI: 1427259241Share

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.7M is at the 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2020-10→2024-12(51 months)

Total Paid

$39.7M

$39,673,560

Total Claims

369K

Beneficiaries

30K

12.3 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2020
$30K
+21485%
2021
$6.5M
+67%
2022
$10.8M
+6%
2023
$11.5M
-5%
2024
$10.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 62% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$24.4M

124K claims · 61.6%

Your Cost: $196.25/claim|Median: $321.53
0.6× median
H2014Normal range

Skills training & development, per 15 min

$3.1M

55K claims · 7.9%

Your Cost: $57.50/claim|Median: $83.88
0.7× median
M0150Normal range

$2.5M

15K claims · 6.3%

Your Cost: $160.92/claim|Median: $161.06
1.0× median
M0152Normal range

$2.0M

11K claims · 5.0%

Your Cost: $174.84/claim|Median: $174.64
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$1.3M

28K claims · 3.2%

Your Cost: $45.26/claim|Median: $87.34
0.5× median
M0167Normal range

$878K

5,422 claims · 2.2%

Your Cost: $161.91/claim|Median: $158.84
1.0× median
M0123Top 1%

$835K

11K claims · 2.1%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0116Normal range

$828K

28K claims · 2.1%

Your Cost: $29.22/claim|Median: $32.07
0.9× median
M0125Top 1%

$808K

8,589 claims · 2.0%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
M0118Normal range

$584K

17K claims · 1.5%

Your Cost: $34.42/claim|Median: $38.00
0.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$376K

5,608 claims · 0.9%

Your Cost: $67.04/claim|Median: $84.12
0.8× median
T1002Normal range

RN services, per 15 minutes

$345K

14K claims · 0.9%

Your Cost: $24.48/claim|Median: $37.42
0.7× median
M0122Top 1%

$277K

3,814 claims · 0.7%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$261K

638 claims · 0.7%

Your Cost: $408.49/claim|Median: $24.34
16.8× median
T1003Normal range

LPN/LVN services, per 15 minutes

$225K

14K claims · 0.6%

Your Cost: $16.39/claim|Median: $24.24
0.7× median
M0117Normal range

$201K

4,811 claims · 0.5%

Your Cost: $41.73/claim|Median: $47.85
0.9× median
M0299Normal range

$179K

6,014 claims · 0.5%

Your Cost: $29.83/claim|Median: $34.98
0.9× median
M0115Normal range

$164K

5,968 claims · 0.4%

Your Cost: $27.54/claim|Median: $29.58
0.9× median
M0113Normal range

$138K

391 claims · 0.3%

Your Cost: $352.08/claim|Median: $397.30
0.9× median
M0133Top 10%

$101K

697 claims · 0.3%

Your Cost: $144.66/claim|Median: $84.70
1.7× median
M0101Normal range

$47K

939 claims · 0.1%

Your Cost: $50.17/claim|Median: $65.66
0.8× median
M0298Normal range

$42K

3,313 claims · 0.1%

Your Cost: $12.58/claim|Median: $13.85
0.9× median
M0315Normal range

$25K

868 claims · 0.1%

Your Cost: $28.32/claim|Median: $29.80
1.0× median
A9153Normal range

$24K

1,026 claims · 0.1%

Your Cost: $23.79/claim|Median: $45.63
0.5× median
M0248Normal range

$8K

2,031 claims · 0.0%

Your Cost: $3.97/claim|Median: $5.31
0.7× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$4K

60 claims · 0.0%

Your Cost: $73.46/claim|Median: $300.16
0.2× median
S5199Normal range

Personal care item, NOS, each

$279

33 claims · 0.0%

Your Cost: $8.46/claim|Median: $10.82
0.8× median
M0249Top 1%

$30

37 claims · 0.0%

Your Cost: $0.80/claim|Median: $0.80
1.0× median

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Cherry Hill, NJ

$401.2M

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$349.0M

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$274.7M

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Rem New Jersey, Inc.

Somerset, NJ

$217.9M

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