Compared to Respite Care Peers
Total spending distribution among 8 providers in this specialty
This provider's total spending of $158.9M is at the 50th percentile among 8 Respite Care providers.
Total Paid
$158.9M
$158,917,527
Total Claims
650K
Beneficiaries
42K
15.4 claims/patient
Avg Cost/Claim
$245
#659 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
The Arc of Essex County, INC is a Respite Care provider based in Livingston, NJ. From the 2018–2024 period, this provider received $158.9M in Medicaid payments across 650K claims.
Important Context
- ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
Why This Matters
This provider received $158.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,864 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 8 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 78% of total spending.
$123.5M
316K claims
$390.74
$321.53
Comprehensive community support services, per 15 min
$123.5M
316K claims · 77.7%
$31.9M
270K claims
$118.27
$150.51
Day habilitation, waiver; per 15 min
$31.9M
270K claims · 20.1%
$1.8M
16K claims
$113.03
$71.40
Respite care services, per 15 minutes
$1.8M
16K claims · 1.2%
$702K
13K claims
$56.05
$169.11
Community-based wrap-around services, per 15 min
$702K
13K claims · 0.4%
$475K
4K claims
$135.75
$413.93
Therapeutic camping, waiver, per diem
$475K
4K claims · 0.3%
Non-emergency transport, per mile
$233K
25K claims · 0.1%
$169K
5K claims
$37.25
$96.24
Comprehensive community support services, per 15 min
$169K
5K claims · 0.1%
$29K
2K claims
$16.86
$74.63
Behavioral health counseling & therapy, per 15 min
$29K
2K claims · 0.0%
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