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LIVING WITH PURPOSE OF MISSOURI, INC.

Health Maintenance Organization·SAINT CHARLES, MO·NPI: 1518330299Share

Compared to Health Maintenance Organization Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.6M is at the 25th percentile among 10 Health Maintenance Organization providers.

Active Billing Period:2019-022024-11(70 months)

Total Paid

$37.6M

$37,556,775

Total Claims

69K

Beneficiaries

6,925

10.0 claims/patient

Avg Cost/Claim

$542

Monthly Spending Trend

Yearly Spending

2019
$4.0M
+16%
2020
$4.7M
+7%
2021
$5.0M
+30%
2022
$6.5M
+29%
2023
$8.4M
+6%
2024
$8.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 95% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$35.8M

56K claims · 95.4%

Your Cost: $637.75/claim|Median: $331.94
1.9× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$783K

5,118 claims · 2.1%

Your Cost: $152.95/claim|Median: $167.38
0.9× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$526K

3,532 claims · 1.4%

Your Cost: $148.86/claim|Median: $146.45
1.0× median
T2001Top 25%

Non-emergency transportation, patient attendant or aide

$185K

1,249 claims · 0.5%

Your Cost: $147.84/claim|Median: $19.61
7.5× median
T1002Top 25%

RN services, per 15 minutes

$146K

1,954 claims · 0.4%

Your Cost: $74.85/claim|Median: $37.42
2.0× median
97156Normal range

$77K

1,218 claims · 0.2%

Your Cost: $62.88/claim|Median: $88.65
0.7× median

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