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COMMUNITY ACTION CORPORATION OF SOUTH TEXAS

Early Intervention Provider Agency·ALICE, TX·NPI: 1609979137Share

Compared to Early Intervention Provider Agency Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.1M is at the 25th percentile among 14 Early Intervention Provider Agency providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$35.1M

$35,129,060

Total Claims

357K

Beneficiaries

177K

2.0 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+31%
2019
$3.8M
+5%
2020
$4.0M
+44%
2021
$5.8M
+13%
2022
$6.5M
+1%
2023
$6.6M
-18%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (T1027 (Family training and counseling, per 15 minutes)) accounts for 43% of total spending.

T1027Top 5%

Family training and counseling, per 15 minutes

$15.2M

123K claims · 43.2%

Your Cost: $123.15/claim|Median: $53.00
2.3× median
T1017Normal range

Targeted case management, per 15 min

$6.8M

93K claims · 19.4%

Your Cost: $73.74/claim|Median: $69.56
1.1× median
92507Top 10%

Speech/hearing/language treatment

$5.0M

50K claims · 14.1%

Your Cost: $98.51/claim|Median: $49.45
2.0× median
97530Top 25%

Therapeutic activities, each 15 min

$1.8M

24K claims · 5.1%

Your Cost: $75.57/claim|Median: $33.11
2.3× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.5M

19K claims · 4.2%

Your Cost: $75.34/claim|Median: $24.49
3.1× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.5M

21K claims · 4.1%

Your Cost: $68.26/claim|Median: $20.04
3.4× median
92526Top 5%

Treatment of swallowing dysfunction and/or oral function

$1.5M

12K claims · 4.1%

Your Cost: $123.52/claim|Median: $49.74
2.5× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$1.1M

6,685 claims · 3.2%

Your Cost: $168.66/claim|Median: $110.87
1.5× median
S9152Top 25%

Speech therapy, re-evaluation

$312K

2,459 claims · 0.9%

Your Cost: $126.75/claim|Median: $92.99
1.4× median
97165Top 10%

OT evaluation, low complexity

$211K

1,816 claims · 0.6%

Your Cost: $116.20/claim|Median: $46.78
2.5× median
97116Top 5%

Gait training

$210K

2,398 claims · 0.6%

Your Cost: $87.57/claim|Median: $12.48
7.0× median
97162Top 10%

PT evaluation, moderate complexity

$40K

347 claims · 0.1%

Your Cost: $115.49/claim|Median: $46.10
2.5× median
97168Top 25%

OT re-evaluation

$38K

361 claims · 0.1%

Your Cost: $106.22/claim|Median: $50.43
2.1× median
92610Top 5%

Evaluation of swallowing function

$25K

130 claims · 0.1%

Your Cost: $189.90/claim|Median: $45.22
4.2× median
97161Top 10%

Physical therapy evaluation, low complexity

$23K

204 claims · 0.1%

Your Cost: $114.57/claim|Median: $47.89
2.4× median
97164Top 5%

PT re-evaluation

$16K

148 claims · 0.0%

Your Cost: $105.12/claim|Median: $32.66
3.2× median
97167Normal range

OT evaluation, high complexity

$5K

43 claims · 0.0%

Your Cost: $110.17/claim|Median: $70.96
1.6× median
S9470Normal range

Nutritional counseling

$4K

108 claims · 0.0%

Your Cost: $33.47/claim|Median: $16.62
2.0× median
92522Top 10%

Evaluation of speech sound production

$3K

26 claims · 0.0%

Your Cost: $128.36/claim|Median: $32.17
4.0× median
97166Top 10%

OT evaluation, moderate complexity

$1K

12 claims · 0.0%

Your Cost: $119.17/claim|Median: $48.74
2.4× median
97012Normal range

Mechanical traction therapy

$494

53 claims · 0.0%

Your Cost: $9.32/claim|Median: $8.34
1.1× median

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