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RESTORING HOPE, LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·WEST PLAINS, MO·NPI: 1558528463Share

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $73.0M is at the 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$73.0M

$73,030,945

Total Claims

300K

Beneficiaries

20K

14.9 claims/patient

Avg Cost/Claim

$243

Monthly Spending Trend

Yearly Spending

2018
$4.2M
+21%
2019
$5.1M
+14%
2020
$5.8M
+30%
2021
$7.6M
+66%
2022
$12.6M
+43%
2023
$18.0M
+9%
2024
$19.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (S5136 (Companion care, adult, per 15 minutes)) accounts for 87% of total spending.

S5136Normal range

Companion care, adult, per 15 minutes

$63.8M

255K claims · 87.4%

Your Cost: $250.04/claim|Median: $302.34
0.8× median
T2021Normal range

Day habilitation, waiver; per 15 min

$8.1M

33K claims · 11.1%

Your Cost: $248.30/claim|Median: $150.51
1.6× median
T1002Top 25%

RN services, per 15 minutes

$1.0M

11K claims · 1.4%

Your Cost: $95.38/claim|Median: $37.42
2.5× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$21K

1,256 claims · 0.0%

Your Cost: $16.63/claim|Median: $162.29
0.1× median
T2003Top 25%

Non-emergency transport; encounter/trip

$9K

144 claims · 0.0%

Your Cost: $60.34/claim|Median: $21.70
2.8× median

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