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AHORA Y SIEMPRE INC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·DALLAS, TX·NPI: 1598084774Share

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 $35.2M is at the 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

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

Total Paid

$35.2M

$35,190,480

Total Claims

304K

Beneficiaries

23K

13.2 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2020
$20K
+35630%
2021
$7.2M
+31%
2022
$9.5M
-6%
2023
$8.9M
+8%
2024
$9.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 36 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 49% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$17.1M

76K claims · 48.7%

Your Cost: $225.95/claim|Median: $321.53
0.7× median
T2016Normal range

Habilitation, residential, waiver; per diem

$4.3M

36K claims · 12.2%

Your Cost: $120.28/claim|Median: $331.94
0.4× median
M0123Top 1%

$2.7M

36K claims · 7.7%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0124Normal range

$1.6M

13K claims · 4.5%

Your Cost: $119.18/claim|Median: $119.18
1.0× median
M0125Top 1%

$1.5M

16K claims · 4.2%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.3M

30K claims · 3.8%

Your Cost: $44.85/claim|Median: $83.88
0.5× median
M0354Top 25%

$1.3M

10K claims · 3.6%

Your Cost: $126.94/claim|Median: $90.61
1.4× median
M0360Normal range

$938K

8,494 claims · 2.7%

Your Cost: $110.47/claim|Median: $102.43
1.1× median
T2020Normal range

Day habilitation, waiver; per diem

$796K

22K claims · 2.3%

Your Cost: $36.68/claim|Median: $87.34
0.4× median
M0122Top 1%

$767K

11K claims · 2.2%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
S5150Normal range

Unskilled respite care, per 15 min

$465K

4,125 claims · 1.3%

Your Cost: $112.78/claim|Median: $84.46
1.3× median
M0116Normal range

$380K

12K claims · 1.1%

Your Cost: $31.55/claim|Median: $32.07
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$359K

707 claims · 1.0%

Your Cost: $507.61/claim|Median: $24.34
20.9× median
M0117Normal range

$328K

6,973 claims · 0.9%

Your Cost: $47.05/claim|Median: $47.85
1.0× median
M0118Normal range

$254K

6,731 claims · 0.7%

Your Cost: $37.75/claim|Median: $38.00
1.0× median
M0240Normal range

$224K

2,011 claims · 0.6%

Your Cost: $111.28/claim|Median: $141.71
0.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$196K

1,845 claims · 0.6%

Your Cost: $106.01/claim|Median: $84.12
1.3× median
M0101Top 25%

$106K

633 claims · 0.3%

Your Cost: $166.86/claim|Median: $65.66
2.5× median
M0115Normal range

$100K

3,456 claims · 0.3%

Your Cost: $28.97/claim|Median: $29.58
1.0× median
M0133Normal range

$95K

926 claims · 0.3%

Your Cost: $102.91/claim|Median: $84.70
1.2× median
M0201Top 25%

$75K

2,524 claims · 0.2%

Your Cost: $29.86/claim|Median: $18.33
1.6× median
M0171Normal range

$73K

1,043 claims · 0.2%

Your Cost: $69.71/claim|Median: $73.78
0.9× median
M0113Normal range

$58K

119 claims · 0.2%

Your Cost: $490.22/claim|Median: $397.30
1.2× median
M0299Top 10%

$31K

387 claims · 0.1%

Your Cost: $80.73/claim|Median: $34.98
2.3× median
S5199Top 25%

Personal care item, NOS, each

$28K

338 claims · 0.1%

Your Cost: $83.38/claim|Median: $10.82
7.7× median
M0372Top 25%

$28K

1,695 claims · 0.1%

Your Cost: $16.28/claim|Median: $13.55
1.2× median
T2025Normal range

Waiver services, NOS; per 15 min

$27K

333 claims · 0.1%

Your Cost: $81.38/claim|Median: $124.39
0.7× median
A9153Top 5%

$17K

123 claims · 0.0%

Your Cost: $140.75/claim|Median: $45.63
3.1× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$11K

62 claims · 0.0%

Your Cost: $174.62/claim|Median: $300.16
0.6× median
M0248Top 10%

$10K

580 claims · 0.0%

Your Cost: $17.42/claim|Median: $5.31
3.3× median
T1002Normal range

RN services, per 15 minutes

$7K

129 claims · 0.0%

Your Cost: $56.59/claim|Median: $37.42
1.5× median
M0315Top 25%

$4K

111 claims · 0.0%

Your Cost: $40.44/claim|Median: $29.80
1.4× median
M0298Normal range

$4K

296 claims · 0.0%

Your Cost: $14.75/claim|Median: $13.85
1.1× median
M0419Normal range

$2K

121 claims · 0.0%

Your Cost: $14.37/claim|Median: $12.20
1.2× median
T1003Normal range

LPN/LVN services, per 15 minutes

$430

30 claims · 0.0%

Your Cost: $14.33/claim|Median: $24.24
0.6× median
T2003Normal range

Non-emergency transport; encounter/trip

$12

111 claims · 0.0%

Your Cost: $0.10/claim|Median: $21.70
0.0× median

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Cherry Hill, NJ

$401.2M

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Ballwin, MO

$349.0M

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$274.7M

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$217.9M

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