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Venture Forthe, Inc.

Clinic/Center, Adult Day Care·Niagara Falls, NY·NPI: 1619062304Share

Compared to Clinic/Center, Adult Day Care Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $129.3M is at the 75th percentile among 5 Clinic/Center, Adult Day Care providers.

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

Total Paid

$129.3M

$129,271,433

Total Claims

874K

Beneficiaries

53K

16.4 claims/patient

Avg Cost/Claim

$148

#899 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Venture Forthe, Inc. is a Clinic/Center, Adult Day Care provider based in Niagara Falls, NY. From the 2018–2024 period, this provider received $129.3M in Medicaid payments across 874K claims.

Why This Matters

This provider received $129.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,158 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 110% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$10.0M
+76%
2019
$17.6M
+13%
2020
$19.9M
-3%
2021
$19.4M
+1%
2022
$19.5M
+13%
2023
$22.0M
-5%
2024
$21.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 98% of total spending.

T1019Normal range

Personal care services, per 15 min

$127.1M

862K claims · 98.3%

Your Cost: $147.56/claim|Median: $82.47
1.8× median
T1020Normal range

Personal care services, per diem

$756K

5,696 claims · 0.6%

Your Cost: $132.75/claim|Median: $296.27
0.4× median
T2024Normal range

Supported employment, waiver, per diem

$723K

2,455 claims · 0.6%

Your Cost: $294.50/claim|Median: $259.38
1.1× median
T1001Top 10%

Nursing assessment/evaluation, per visit

$236K

1,481 claims · 0.2%

Your Cost: $159.53/claim|Median: $49.05
3.3× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$211K

1,467 claims · 0.2%

Your Cost: $143.69/claim|Median: $91.63
1.6× median
S5125Top 25%

Attendant care services, per 15 min

$119K

876 claims · 0.1%

Your Cost: $136.40/claim|Median: $82.34
1.7× median
T1022Normal range

$64K

310 claims · 0.0%

Your Cost: $206.81/claim|Median: $184.03
1.1× median
G0162Normal range

Skilled services by RN in home health, per 15 min

$17K

215 claims · 0.0%

Your Cost: $78.63/claim|Median: $59.83
1.3× median
99199Top 10%

Unlisted special service, procedure, or report

$14K

93 claims · 0.0%

Your Cost: $147.59/claim|Median: $5.39
27.4× median
T1030Normal range

Nursing care, in the home, by RN, per diem

$2K

29 claims · 0.0%

Your Cost: $71.72/claim|Median: $85.62
0.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$0

93 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04
T1024Normal range

Evaluation & treatment, integrated specialty team

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $119.08

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