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OPTIMAE LIFESERVICES, INC

Community/Behavioral Health·FAIRFIELD, IA·NPI: 1508955485Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $111.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$111.4M

$111,407,282

Total Claims

564K

Beneficiaries

37K

15.3 claims/patient

Avg Cost/Claim

$198

Monthly Spending Trend

Yearly Spending

2018
$13.8M
+25%
2019
$17.3M
-3%
2020
$16.7M
-3%
2021
$16.2M
+1%
2022
$16.3M
-3%
2023
$15.8M
-2%
2024
$15.4M

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 49% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$54.2M

198K claims · 48.6%

Your Cost: $273.00/claim|Median: $321.53
0.8× median
S5136Normal range

Companion care, adult, per 15 minutes

$43.0M

178K claims · 38.6%

Your Cost: $240.72/claim|Median: $302.34
0.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$7.0M

113K claims · 6.3%

Your Cost: $61.99/claim|Median: $96.24
0.6× median
H2025Top 25%

Ongoing support to maintain employment, per 15 min

$3.3M

15K claims · 3.0%

Your Cost: $223.60/claim|Median: $100.49
2.2× median
T2020Normal range

Day habilitation, waiver; per diem

$2.7M

33K claims · 2.4%

Your Cost: $83.21/claim|Median: $87.34
1.0× median
T2021Normal range

Day habilitation, waiver; per 15 min

$1.1M

25K claims · 1.0%

Your Cost: $45.73/claim|Median: $150.51
0.3× median
S5150Normal range

Unskilled respite care, per 15 min

$137K

1,815 claims · 0.1%

Your Cost: $75.30/claim|Median: $84.46
0.9× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$10K

129 claims · 0.0%

Your Cost: $73.69/claim|Median: $76.05
1.0× median