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EDUCATION SERVICE CENTER REGION I OF TEXAS

Case Management·EDINBURG, TX·NPI: 1538206198Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.4M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$21.4M

$21,424,972

Total Claims

242K

Beneficiaries

142K

1.7 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+7%
2019
$2.1M
+10%
2020
$2.3M
+58%
2021
$3.6M
+9%
2022
$3.9M
+7%
2023
$4.2M
-16%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T1027 (Family training and counseling, per 15 minutes)) accounts for 48% of total spending.

T1027Top 25%

Family training and counseling, per 15 minutes

$10.4M

108K claims · 48.4%

Your Cost: $95.82/claim|Median: $53.00
1.8× median
92507Top 10%

Speech/hearing/language treatment

$4.6M

46K claims · 21.4%

Your Cost: $99.18/claim|Median: $49.45
2.0× median
T1017Normal range

Targeted case management, per 15 min

$2.9M

43K claims · 13.5%

Your Cost: $67.54/claim|Median: $69.56
1.0× median
97530Top 10%

Therapeutic activities, each 15 min

$1.3M

15K claims · 5.9%

Your Cost: $85.24/claim|Median: $33.11
2.6× median
97110Top 10%

Therapeutic exercises, each 15 min

$972K

15K claims · 4.5%

Your Cost: $66.87/claim|Median: $24.49
2.7× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$728K

4,688 claims · 3.4%

Your Cost: $155.25/claim|Median: $110.87
1.4× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$550K

9,871 claims · 2.6%

Your Cost: $55.75/claim|Median: $20.04
2.8× median
97116Top 10%

Gait training

$26K

530 claims · 0.1%

Your Cost: $49.01/claim|Median: $12.48
3.9× median
97161Top 10%

Physical therapy evaluation, low complexity

$11K

102 claims · 0.1%

Your Cost: $107.42/claim|Median: $47.89
2.2× median
97163Top 25%

PT evaluation, high complexity

$10K

117 claims · 0.0%

Your Cost: $89.06/claim|Median: $50.34
1.8× median
97168Top 25%

OT re-evaluation

$7K

79 claims · 0.0%

Your Cost: $93.24/claim|Median: $50.43
1.8× median
97166Top 25%

OT evaluation, moderate complexity

$7K

69 claims · 0.0%

Your Cost: $102.78/claim|Median: $48.74
2.1× median
97164Top 10%

PT re-evaluation

$5K

62 claims · 0.0%

Your Cost: $84.32/claim|Median: $32.66
2.6× median
97167Normal range

OT evaluation, high complexity

$2K

24 claims · 0.0%

Your Cost: $81.49/claim|Median: $70.96
1.1× median

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Similar Providers

Other top providers in Case Management

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$1.35B

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$1.14B

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$1.10B

Community Assistance Resources & Extended Services INC

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Stavros Center for Independent Living Inc.

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