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BEHAVIOR INTERVENTION SERVICES

Behavior Analyst·MARYLAND HEIGHTS, MO·NPI: 1689732620Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.3M is at the 75th percentile among 31 Behavior Analyst providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$42.3M

$42,268,420

Total Claims

101K

Beneficiaries

9,727

10.4 claims/patient

Avg Cost/Claim

$418

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+14%
2019
$4.0M
+13%
2020
$4.6M
+18%
2021
$5.4M
+34%
2022
$7.2M
+29%
2023
$9.3M
-12%
2024
$8.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 83% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$35.2M

64K claims · 83.2%

Your Cost: $547.96/claim|Median: $331.94
1.7× median
T2021Normal range

Day habilitation, waiver; per 15 min

$4.1M

17K claims · 9.7%

Your Cost: $246.53/claim|Median: $150.51
1.6× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$1.3M

8,410 claims · 3.1%

Your Cost: $157.03/claim|Median: $167.38
0.9× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.1M

5,425 claims · 2.5%

Your Cost: $194.47/claim|Median: $146.45
1.3× median
T2001Top 25%

Non-emergency transportation, patient attendant or aide

$254K

1,751 claims · 0.6%

Your Cost: $145.15/claim|Median: $19.61
7.4× median
T1002Normal range

RN services, per 15 minutes

$147K

2,207 claims · 0.3%

Your Cost: $66.78/claim|Median: $37.42
1.8× median
0369TTop 25%

$99K

680 claims · 0.2%

Your Cost: $145.02/claim|Median: $102.36
1.4× median
97156Normal range

$45K

759 claims · 0.1%

Your Cost: $59.47/claim|Median: $88.65
0.7× median
T1019Normal range

Personal care services, per 15 min

$35K

353 claims · 0.1%

Your Cost: $98.36/claim|Median: $82.47
1.2× median
0368TNormal range

$27K

628 claims · 0.1%

Your Cost: $43.21/claim|Median: $44.63
1.0× median