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COMMUNITY OPTIONS, INC

Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child·EL PASO, TX·NPI: 1578576310Share

Compared to Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.4M is at the below 25th percentile among 5 Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child providers.

Active Billing Period:2020-11→2024-12(50 months)

Total Paid

$20.4M

$20,443,549

Total Claims

231K

Beneficiaries

12K

18.6 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2020
$2K
+170733%
2021
$2.9M
+84%
2022
$5.3M
+13%
2023
$5.9M
+8%
2024
$6.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 61% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$12.4M

115K claims · 60.6%

Your Cost: $107.81/claim|Median: $321.53
0.3× median
H2014Normal range

Skills training & development, per 15 min

$1.8M

35K claims · 9.0%

Your Cost: $52.01/claim|Median: $83.88
0.6× median
T2016Normal range

Habilitation, residential, waiver; per diem

$983K

7,397 claims · 4.8%

Your Cost: $132.90/claim|Median: $331.94
0.4× median
M0150Top 25%

$966K

5,962 claims · 4.7%

Your Cost: $162.00/claim|Median: $161.06
1.0× median
M0152Normal range

$895K

5,125 claims · 4.4%

Your Cost: $174.64/claim|Median: $174.64
1.0× median
M0123Top 1%

$880K

12K claims · 4.3%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$573K

15K claims · 2.8%

Your Cost: $39.12/claim|Median: $87.34
0.4× median
M0122Top 1%

$479K

6,604 claims · 2.3%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0116Top 25%

$366K

11K claims · 1.8%

Your Cost: $34.31/claim|Median: $32.07
1.1× median
M0354Top 25%

$270K

2,165 claims · 1.3%

Your Cost: $124.72/claim|Median: $90.61
1.4× median
M0118Normal range

$230K

5,834 claims · 1.1%

Your Cost: $39.41/claim|Median: $38.00
1.0× median
T1002Normal range

RN services, per 15 minutes

$186K

3,732 claims · 0.9%

Your Cost: $49.84/claim|Median: $37.42
1.3× median
D0120Top 1%

Periodic oral evaluation, established patient

$141K

498 claims · 0.7%

Your Cost: $282.55/claim|Median: $24.34
11.6× median
M0115Normal range

$123K

3,997 claims · 0.6%

Your Cost: $30.79/claim|Median: $29.58
1.0× median
M0299Normal range

$33K

885 claims · 0.2%

Your Cost: $37.63/claim|Median: $34.98
1.1× median
M0125Top 1%

$32K

335 claims · 0.2%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
S8990Normal range

$27K

343 claims · 0.1%

Your Cost: $79.94/claim|Median: $78.36
1.0× median
M0113Normal range

$13K

41 claims · 0.1%

Your Cost: $327.05/claim|Median: $397.30
0.8× median
M0315Normal range

$7K

298 claims · 0.0%

Your Cost: $23.26/claim|Median: $29.80
0.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$3K

63 claims · 0.0%

Your Cost: $52.39/claim|Median: $84.12
0.6× median
M0101Normal range

$2K

34 claims · 0.0%

Your Cost: $71.21/claim|Median: $65.66
1.1× median
M0248Normal range

$168

19 claims · 0.0%

Your Cost: $8.85/claim|Median: $5.31
1.7× median

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