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ENABLE, INC.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities·BISMARCK, ND·NPI: 1619013430Share

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

Total spending distribution among 15 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.8M is at the 50th percentile among 15 Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$40.8M

$40,793,669

Total Claims

89K

Beneficiaries

6,511

13.7 claims/patient

Avg Cost/Claim

$459

Monthly Spending Trend

Yearly Spending

2018
$5.7M
+14%
2019
$6.5M
-3%
2020
$6.3M
+4%
2021
$6.5M
-15%
2022
$5.6M
-2%
2023
$5.5M
-14%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 43% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$17.4M

51K claims · 42.7%

Your Cost: $339.41/claim|Median: $331.94
1.0× median
W0725Normal range

Waiver service, state-specific code

$13.3M

2,571 claims · 32.6%

Your Cost: $5,174.67/claim|Median: $5,225.66
1.0× median
T2021Normal range

Day habilitation, waiver; per 15 min

$4.9M

25K claims · 12.0%

Your Cost: $192.38/claim|Median: $150.51
1.3× median
W0715Top 25%

$3.6M

6,248 claims · 8.7%

Your Cost: $568.88/claim|Median: $441.83
1.3× median
W0260Top 25%

$1.0M

163 claims · 2.5%

Your Cost: $6,305.93/claim|Median: $4,950.51
1.3× median
W0200Normal range

$294K

558 claims · 0.7%

Your Cost: $526.70/claim|Median: $1,957.11
0.3× median
W0720Normal range

$230K

1,909 claims · 0.6%

Your Cost: $120.37/claim|Median: $175.78
0.7× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$66K

643 claims · 0.2%

Your Cost: $103.35/claim|Median: $137.32
0.8× median

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