Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

WHAT MATTERS MOST

Community/Behavioral Health·CONCORD, NC·NPI: 1477939916Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.8M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$37.8M

$37,768,517

Total Claims

296K

Beneficiaries

17K

17.7 claims/patient

Avg Cost/Claim

$128

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+39%
2019
$4.2M
+6%
2020
$4.5M
+3%
2021
$4.6M
-3%
2022
$4.5M
+101%
2023
$9.0M
-11%
2024
$8.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T2012 (Habilitation, educational; per 15 min)) accounts for 28% of total spending.

T2012Normal range

Habilitation, educational; per 15 min

$10.5M

58K claims · 27.7%

Your Cost: $179.76/claim|Median: $177.54
1.0× median
T2021Normal range

Day habilitation, waiver; per 15 min

$7.9M

70K claims · 20.9%

Your Cost: $112.76/claim|Median: $150.51
0.7× median
T2013Normal range

Habilitation, residential, waiver, per hour

$7.3M

52K claims · 19.4%

Your Cost: $141.27/claim|Median: $158.23
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$5.0M

58K claims · 13.1%

Your Cost: $85.45/claim|Median: $96.24
0.9× median
T2033Normal range

Residential care, NOS; per diem

$3.4M

18K claims · 9.1%

Your Cost: $190.15/claim|Median: $1,051.57
0.2× median
S5150Normal range

Unskilled respite care, per 15 min

$2.0M

24K claims · 5.3%

Your Cost: $82.92/claim|Median: $84.46
1.0× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$1.7M

15K claims · 4.4%

Your Cost: $110.51/claim|Median: $100.49
1.1× median
H0045Normal range

Respite care services, not in the home, per diem

$9K

107 claims · 0.0%

Your Cost: $83.78/claim|Median: $119.19
0.7× median