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

COUNSELING SERVICE OF ADDISON COUNTY

Clinic/Center, Developmental Disabilities·MIDDLEBURY, VT·NPI: 1730218868Share

Compared to Clinic/Center, Developmental Disabilities Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.6M is at the below 25th percentile among 8 Clinic/Center, Developmental Disabilities providers.

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

Total Paid

$59.6M

$59,600,298

Total Claims

141K

Beneficiaries

26K

5.5 claims/patient

Avg Cost/Claim

$423

Monthly Spending Trend

Yearly Spending

2018
$5.2M
-1%
2019
$5.2M
+53%
2020
$8.0M
+2%
2021
$8.1M
+31%
2022
$10.6M
+9%
2023
$11.5M
-5%
2024
$11.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 76% of total spending.

99199Top 1%

Unlisted special service, procedure, or report

$45.3M

8,309 claims · 76.1%

Your Cost: $5,457.79/claim|Median: $5.39
1012.6× median
H2022Top 25%

Community-based wrap-around services, per diem

$14.3M

7,224 claims · 23.9%

Your Cost: $1,972.80/claim|Median: $336.31
5.9× median
T1016Normal range

Case management, each 15 min

$0

36K claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62
H2025Normal range

Ongoing support to maintain employment, per 15 min

$0

31K claims · 0.0%

Your Cost: $0.00/claim|Median: $100.49
S5140Normal range

Foster care, adult; per diem

$0

2,758 claims · 0.0%

Your Cost: $0.00/claim|Median: $252.32
S5150Normal range

Unskilled respite care, per 15 min

$0

17K claims · 0.0%

Your Cost: $0.00/claim|Median: $84.46
S5151Normal range

Unskilled respite care, per diem

$0

5,438 claims · 0.0%

Your Cost: $0.00/claim|Median: $249.18
S5135Normal range

Companion care, adult, per diem

$0

6,476 claims · 0.0%

Your Cost: $0.00/claim|Median: $52.25
T2021Normal range

Day habilitation, waiver; per 15 min

$0

28K claims · 0.0%

Your Cost: $0.00/claim|Median: $150.51