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GRAFTON SCHOOL, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·WINCHESTER, VA·NPI: 1720159676Share

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $91.9M is at the 50th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

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

Total Paid

$91.9M

$91,879,660

Total Claims

265K

Beneficiaries

25K

10.4 claims/patient

Avg Cost/Claim

$347

Monthly Spending Trend

Yearly Spending

2018
$12.0M
-15%
2019
$10.2M
-18%
2020
$8.4M
+25%
2021
$10.5M
+31%
2022
$13.8M
+18%
2023
$16.2M
+28%
2024
$20.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 60% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$55.3M

187K claims · 60.2%

Your Cost: $295.59/claim|Median: $336.31
0.9× median
H0019Normal range

Behavioral health; residential, per diem

$22.3M

51K claims · 24.3%

Your Cost: $438.69/claim|Median: $357.16
1.2× median
T2021Top 10%

Day habilitation, waiver; per 15 min

$7.4M

8,827 claims · 8.1%

Your Cost: $839.76/claim|Median: $150.51
5.6× median
97150Top 1%

Therapeutic procedure, group (2+ patients)

$5.0M

4,436 claims · 5.5%

Your Cost: $1,133.04/claim|Median: $12.12
93.5× median
97139Top 10%

$1.4M

4,523 claims · 1.6%

Your Cost: $317.63/claim|Median: $28.71
11.1× median
90832Normal range

Psychotherapy, 30 minutes

$245K

5,042 claims · 0.3%

Your Cost: $48.61/claim|Median: $41.28
1.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$55K

1,345 claims · 0.1%

Your Cost: $40.79/claim|Median: $37.81
1.1× median
97152Normal range

$22K

1,129 claims · 0.0%

Your Cost: $19.07/claim|Median: $155.16
0.1× median
99212Top 25%

Office/outpatient visit, low complexity

$14K

337 claims · 0.0%

Your Cost: $40.19/claim|Median: $25.06
1.6× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$13K

149 claims · 0.0%

Your Cost: $88.81/claim|Median: $53.41
1.7× median
90853Normal range

Group psychotherapy

$11K

680 claims · 0.0%

Your Cost: $16.03/claim|Median: $25.02
0.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$10K

195 claims · 0.0%

Your Cost: $51.86/claim|Median: $77.33
0.7× median

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$309.5M

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$288.2M

Similar Providers

Other top providers in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

The Devereux Foundation

Cherry Hill, NJ

$401.2M

Easter Seals Midwest

Ballwin, MO

$349.0M

Ability360, Inc,

Phoenix, AZ

$274.7M

Divine House, Inc.

Willmar, MN

$230.9M

Rem New Jersey, Inc.

Somerset, NJ

$217.9M

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