Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

EASTER SEALS NEW JERSEY

Community/Behavioral Health·TOMS RIVER, NJ·NPI: 1669719654Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.1M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$46.1M

$46,074,996

Total Claims

352K

Beneficiaries

26K

13.8 claims/patient

Avg Cost/Claim

$131

Monthly Spending Trend

Yearly Spending

2018
$7.6M
+55%
2019
$11.8M
-55%
2020
$5.3M
-4%
2021
$5.1M
+27%
2022
$6.5M
-20%
2023
$5.2M
-15%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T2021 (Day habilitation, waiver; per 15 min)) accounts for 52% of total spending.

T2021Normal range

Day habilitation, waiver; per 15 min

$23.8M

210K claims · 51.7%

Your Cost: $113.48/claim|Median: $150.51
0.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$12.7M

44K claims · 27.6%

Your Cost: $287.33/claim|Median: $321.53
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$4.4M

41K claims · 9.6%

Your Cost: $108.19/claim|Median: $96.24
1.1× median
H2021Normal range

Community-based wrap-around services, per 15 min

$3.4M

25K claims · 7.5%

Your Cost: $140.69/claim|Median: $169.11
0.8× median
A0090Top 25%

Non-emergency transport, per mile

$1.0M

30K claims · 2.2%

Your Cost: $33.97/claim|Median: $10.45
3.3× median
T2036Normal range

Therapeutic camping, waiver, per diem

$628K

2,673 claims · 1.4%

Your Cost: $234.97/claim|Median: $413.93
0.6× median