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WATERLOO COMMUNITY SCHOOL DISTRICT

Local Education Agency (LEA)·WATERLOO, IA·NPI: 1518019868Share

Compared to Local Education Agency (LEA) Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.8M is at the 25th percentile among 12 Local Education Agency (LEA) providers.

Active Billing Period:2018-012024-11(75 months)

Total Paid

$19.8M

$19,776,525

Total Claims

208K

Beneficiaries

16K

12.6 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-0%
2019
$4.0M
-53%
2020
$1.9M
+48%
2021
$2.8M
+0%
2022
$2.8M
-13%
2023
$2.5M
-30%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T1020 (Personal care services, per diem)) accounts for 52% of total spending.

T1020Normal range

Personal care services, per diem

$10.2M

67K claims · 51.6%

Your Cost: $152.77/claim|Median: $296.27
0.5× median
96165Top 5%

Health behavior intervention, family, each additional fifteen minutes

$4.2M

39K claims · 21.2%

Your Cost: $107.91/claim|Median: $15.54
6.9× median
96153Top 1%

Health/behavior intervention, group

$3.5M

27K claims · 17.6%

Your Cost: $128.68/claim|Median: $6.67
19.3× median
A0110Top 10%

Non-emergency taxi transport

$825K

26K claims · 4.2%

Your Cost: $32.13/claim|Median: $9.27
3.5× median
T1019Normal range

Personal care services, per 15 min

$463K

8,115 claims · 2.3%

Your Cost: $57.01/claim|Median: $82.47
0.7× median
96164Normal range

$437K

38K claims · 2.2%

Your Cost: $11.60/claim|Median: $9.87
1.2× median
A0130Normal range

Non-emergency wheelchair van transport

$152K

3,195 claims · 0.8%

Your Cost: $47.66/claim|Median: $29.37
1.6× median
T2001Normal range

Non-emergency transportation, patient attendant or aide

$2K

331 claims · 0.0%

Your Cost: $6.11/claim|Median: $19.61
0.3× median