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RESIDENTIAL OPPORTUNITIES, INC.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities·KALAMAZOO, MI·NPI: 1750459772Share

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

Total spending distribution among 15 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.8M is at the 50th percentile among 15 Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

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

Total Paid

$46.8M

$46,784,005

Total Claims

395K

Beneficiaries

10K

38.1 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$11.5M
-60%
2019
$4.7M
-2%
2020
$4.6M
+3%
2021
$4.7M
+18%
2022
$5.6M
+31%
2023
$7.3M
+14%
2024
$8.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 35% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$16.6M

197K claims · 35.5%

Your Cost: $84.30/claim|Median: $96.24
0.9× median
H0043Normal range

Supported housing, per diem

$9.2M

40K claims · 19.8%

Your Cost: $232.62/claim|Median: $164.87
1.4× median
H2016Normal range

Comprehensive community support services, per 15 min

$8.9M

32K claims · 19.1%

Your Cost: $278.78/claim|Median: $321.53
0.9× median
T2027Normal range

Specialized transportation, waiver, per trip, extra

$4.0M

64K claims · 8.5%

Your Cost: $62.25/claim|Median: $88.93
0.7× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$3.0M

16K claims · 6.4%

Your Cost: $187.32/claim|Median: $167.38
1.1× median
T1020Normal range

Personal care services, per diem

$2.4M

27K claims · 5.2%

Your Cost: $90.41/claim|Median: $296.27
0.3× median
0365TTop 5%

Adaptive behavior treatment, each additional thirty minutes

$1.1M

4,151 claims · 2.3%

Your Cost: $257.42/claim|Median: $106.05
2.4× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$962K

6,442 claims · 2.1%

Your Cost: $149.27/claim|Median: $146.45
1.0× median
0369TTop 25%

$197K

1,190 claims · 0.4%

Your Cost: $165.66/claim|Median: $102.36
1.6× median
0364TTop 25%

$127K

3,283 claims · 0.3%

Your Cost: $38.80/claim|Median: $21.31
1.8× median
0368TTop 10%

$127K

1,358 claims · 0.3%

Your Cost: $93.29/claim|Median: $44.63
2.1× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$70K

2,138 claims · 0.1%

Your Cost: $32.54/claim|Median: $55.95
0.6× median
0367TNormal range

$36K

728 claims · 0.1%

Your Cost: $49.25/claim|Median: $50.31
1.0× median
0366TTop 25%

$20K

808 claims · 0.0%

Your Cost: $24.86/claim|Median: $10.37
2.4× median
97156Normal range

$13K

109 claims · 0.0%

Your Cost: $114.94/claim|Median: $88.65
1.3× median
97151Top 25%

Behavior identification assessment

$4K

14 claims · 0.0%

Your Cost: $274.29/claim|Median: $161.10
1.7× median

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