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PINNACLE HOME CARE, INC.

Day Training, Developmentally Disabled Services·GREENVILLE, NC·NPI: 1669541538Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.3M is at the 50th percentile among 56 Day Training, Developmentally Disabled Services providers.

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

Total Paid

$59.3M

$59,297,373

Total Claims

337K

Beneficiaries

18K

18.8 claims/patient

Avg Cost/Claim

$176

Monthly Spending Trend

Yearly Spending

2018
$5.6M
+1%
2019
$5.7M
+20%
2020
$6.8M
+12%
2021
$7.7M
+33%
2022
$10.2M
+13%
2023
$11.5M
+4%
2024
$11.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 66% of total spending.

T2013Top 25%

Habilitation, residential, waiver, per hour

$38.9M

208K claims · 65.6%

Your Cost: $187.16/claim|Median: $158.23
1.2× median
T2012Top 25%

Habilitation, educational; per 15 min

$15.6M

73K claims · 26.4%

Your Cost: $213.82/claim|Median: $177.54
1.2× median
S5150Normal range

Unskilled respite care, per 15 min

$2.0M

29K claims · 3.4%

Your Cost: $70.61/claim|Median: $84.46
0.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.5M

15K claims · 2.6%

Your Cost: $102.03/claim|Median: $96.24
1.1× median
H0045Normal range

Respite care services, not in the home, per diem

$1.2M

13K claims · 2.0%

Your Cost: $94.37/claim|Median: $119.19
0.8× median