Compared to Local Education Agency (LEA) Peers
Total spending distribution among 12 providers in this specialty
This provider's total spending of $393K is at the 25th percentile among 12 Local Education Agency (LEA) providers.
Total Paid
$393K
$392,787
Total Claims
5,593
Beneficiaries
1,821
3.1 claims/patient
Avg Cost/Claim
$70
🔍 Analysis
Provider Overview
Oregon Trail School District is a Local Education Agency (LEA) provider based in Sandy, OR. From 2018-11 through 2023-04, this provider received $393K in Medicaid payments across 6K claims serving 2K beneficiaries, billing 4 distinct procedure codes.
Key Findings
- 📊Bills 3.0× the national median for T1018 (T1018), at $117 per claim vs. the median of $40, placing them above the 90th percentile.
- 📊91% of all billing comes from a single procedure code: T1018 (T1018). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.
- 📊Spending more than doubled from $13K in 2018 to $45K in 2023 (252% growth).
- 📊Saw a 13.4× spike in 2019 ($13K → $172K), a sharp year-over-year increase.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (T1018 (School-based IEP services, per encounter)) accounts for 91% of total spending.
$357K
3,052 claims
$117.09
$39.53
School-based IEP services, per encounter
$357K
3,052 claims · 91.0%
$24K
2,081 claims
$11.39
$13.22
Treatment of speech/language disorder, group, 2+ patients
$24K
2,081 claims · 6.0%
$9K
376 claims
$23.46
$47.08
Coordinated care fee, risk-adjusted, ESRD
$9K
376 claims · 2.2%
$3K
84 claims
$34.35
$21.70
Non-emergency transport; encounter/trip
$3K
84 claims · 0.7%
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