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

SEVEN HILLS RHODE ISLAND

Day Training, Developmentally Disabled Services·WOONSOCKET, RI·NPI: 1760779045Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $84.0M is at the 50th percentile among 56 Day Training, Developmentally Disabled Services providers.

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

Total Paid

$84.0M

$84,039,662

Total Claims

250K

Beneficiaries

43K

5.8 claims/patient

Avg Cost/Claim

$336

Monthly Spending Trend

Yearly Spending

2018
$11.9M
+2%
2019
$12.1M
-17%
2020
$10.0M
+7%
2021
$10.7M
+19%
2022
$12.8M
+8%
2023
$13.7M
-6%
2024
$12.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (T2033 (Residential care, NOS; per diem)) accounts for 65% of total spending.

T2033Normal range

Residential care, NOS; per diem

$54.7M

151K claims · 65.1%

Your Cost: $361.84/claim|Median: $1,051.57
0.3× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$12.1M

15K claims · 14.4%

Your Cost: $787.95/claim|Median: $150.51
5.2× median
T2017Top 25%

Habilitation, residential, waiver; 15 min

$5.2M

6,161 claims · 6.2%

Your Cost: $846.89/claim|Median: $137.32
6.2× median
T2020Top 1%

Day habilitation, waiver; per diem

$4.6M

2,450 claims · 5.5%

Your Cost: $1,874.28/claim|Median: $87.34
21.5× median
T2003Top 5%

Non-emergency transport; encounter/trip

$2.0M

5,338 claims · 2.4%

Your Cost: $377.33/claim|Median: $21.70
17.4× median
T2022Normal range

Case management, per month

$1.6M

11K claims · 1.9%

Your Cost: $140.55/claim|Median: $202.77
0.7× median
T1019Normal range

Personal care services, per 15 min

$926K

10K claims · 1.1%

Your Cost: $88.44/claim|Median: $82.47
1.1× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$875K

7,063 claims · 1.0%

Your Cost: $123.91/claim|Median: $119.08
1.0× median
T2019Top 10%

Habilitation, prevocational, waiver; per 15 min

$472K

927 claims · 0.6%

Your Cost: $509.51/claim|Median: $88.91
5.7× median
T1027Top 25%

Family training and counseling, per 15 minutes

$319K

3,258 claims · 0.4%

Your Cost: $98.00/claim|Median: $53.00
1.8× median
T1016Normal range

Case management, each 15 min

$275K

7,712 claims · 0.3%

Your Cost: $35.60/claim|Median: $49.62
0.7× median
T2015Normal range

Habilitation, prevocational, waiver, per diem

$189K

1,596 claims · 0.2%

Your Cost: $118.23/claim|Median: $88.27
1.3× median
H0046Normal range

Mental health services, not otherwise specified

$188K

1,877 claims · 0.2%

Your Cost: $100.09/claim|Median: $85.02
1.2× median
T2025Normal range

Waiver services, NOS; per 15 min

$178K

622 claims · 0.2%

Your Cost: $286.97/claim|Median: $124.39
2.3× median
T1005Top 25%

Respite care services, per 15 minutes

$144K

988 claims · 0.2%

Your Cost: $146.21/claim|Median: $71.40
2.0× median
H2016Normal range

Comprehensive community support services, per 15 min

$83K

23K claims · 0.1%

Your Cost: $3.66/claim|Median: $321.53
0.0× median
97151Normal range

Behavior identification assessment

$26K

256 claims · 0.0%

Your Cost: $101.04/claim|Median: $161.10
0.6× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$23K

169 claims · 0.0%

Your Cost: $138.16/claim|Median: $106.70
1.3× median
T1002Normal range

RN services, per 15 minutes

$19K

414 claims · 0.0%

Your Cost: $46.83/claim|Median: $37.42
1.3× median
T1003Normal range

LPN/LVN services, per 15 minutes

$14K

366 claims · 0.0%

Your Cost: $38.69/claim|Median: $24.24
1.6× median
T2023Normal range

Community transition, waiver; per service

$13K

49 claims · 0.0%

Your Cost: $269.07/claim|Median: $300.13
0.9× median
H0032Normal range

Mental health service plan development

$13K

121 claims · 0.0%

Your Cost: $105.75/claim|Median: $80.64
1.3× median
H2000Top 1%

Comprehensive multidisciplinary evaluation

$11K

12 claims · 0.0%

Your Cost: $880.85/claim|Median: $114.71
7.7× median