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PARADIGM, INC.

Community/Behavioral Health·GREENVILLE, NC·NPI: 1689742751Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$37.8M

$37,793,152

Total Claims

137K

Beneficiaries

7,649

18.0 claims/patient

Avg Cost/Claim

$275

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+27%
2019
$2.7M
+44%
2020
$3.8M
+20%
2021
$4.6M
+50%
2022
$6.9M
+21%
2023
$8.3M
+15%
2024
$9.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 34% of total spending.

T1019Top 10%

Personal care services, per 15 min

$12.9M

36K claims · 34.0%

Your Cost: $360.44/claim|Median: $82.47
4.4× median
H2016Normal range

Comprehensive community support services, per 15 min

$10.3M

17K claims · 27.3%

Your Cost: $613.12/claim|Median: $321.53
1.9× median
T2021Normal range

Day habilitation, waiver; per 15 min

$8.4M

50K claims · 22.3%

Your Cost: $168.73/claim|Median: $150.51
1.1× median
T2033Normal range

Residential care, NOS; per diem

$2.7M

5,905 claims · 7.3%

Your Cost: $465.42/claim|Median: $1,051.57
0.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.7M

26K claims · 7.0%

Your Cost: $100.33/claim|Median: $96.24
1.0× median
T2020Top 5%

Day habilitation, waiver; per diem

$664K

802 claims · 1.8%

Your Cost: $828.26/claim|Median: $87.34
9.5× median
H0045Normal range

Respite care services, not in the home, per diem

$77K

460 claims · 0.2%

Your Cost: $166.69/claim|Median: $119.19
1.4× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$35K

921 claims · 0.1%

Your Cost: $37.98/claim|Median: $91.63
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$2K

232 claims · 0.0%

Your Cost: $9.12/claim|Median: $63.65
0.1× median