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AUTISM SERVICE CENTER

Clinic/Center, Developmental Disabilities·HUNTINGTON, WV·NPI: 1780711291Share

Compared to Clinic/Center, Developmental Disabilities Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.0M is at the below 25th percentile among 8 Clinic/Center, Developmental Disabilities providers.

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

Total Paid

$59.0M

$58,998,612

Total Claims

69K

Beneficiaries

53K

1.3 claims/patient

Avg Cost/Claim

$851

Monthly Spending Trend

Yearly Spending

2018
$9.3M
-4%
2019
$8.9M
-6%
2020
$8.4M
+3%
2021
$8.6M
+10%
2022
$9.4M
-14%
2023
$8.1M
-23%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 81% of total spending.

S5125Top 1%

Attendant care services, per 15 min

$47.6M

16K claims · 80.6%

Your Cost: $2,889.94/claim|Median: $82.34
35.1× median
T1005Top 1%

Respite care services, per 15 minutes

$2.4M

2,583 claims · 4.2%

Your Cost: $948.34/claim|Median: $71.40
13.3× median
G9002Top 25%

Coordinated care fee, maintenance period

$1.9M

8,919 claims · 3.2%

Your Cost: $211.18/claim|Median: $108.80
1.9× median
T1016Top 10%

Case management, each 15 min

$1.8M

7,815 claims · 3.0%

Your Cost: $226.07/claim|Median: $49.62
4.6× median
T2021Normal range

Day habilitation, waiver; per 15 min

$1.6M

8,418 claims · 2.7%

Your Cost: $190.83/claim|Median: $150.51
1.3× median
A0160Top 5%

$1.4M

8,079 claims · 2.4%

Your Cost: $176.14/claim|Median: $12.60
14.0× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$643K

4,625 claims · 1.1%

Your Cost: $138.99/claim|Median: $167.38
0.8× median
T2025Normal range

Waiver services, NOS; per 15 min

$534K

2,676 claims · 0.9%

Your Cost: $199.51/claim|Median: $124.39
1.6× median
T1002Top 25%

RN services, per 15 minutes

$434K

2,834 claims · 0.7%

Your Cost: $153.11/claim|Median: $37.42
4.1× median
T2019Top 10%

Habilitation, prevocational, waiver; per 15 min

$244K

498 claims · 0.4%

Your Cost: $490.42/claim|Median: $88.91
5.5× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$206K

2,267 claims · 0.3%

Your Cost: $90.97/claim|Median: $146.45
0.6× median
T2024Normal range

Supported employment, waiver, per diem

$203K

3,390 claims · 0.3%

Your Cost: $59.74/claim|Median: $259.38
0.2× median
T1003Normal range

LPN/LVN services, per 15 minutes

$33K

641 claims · 0.1%

Your Cost: $51.61/claim|Median: $24.24
2.1× median
97156Normal range

$4K

148 claims · 0.0%

Your Cost: $29.04/claim|Median: $88.65
0.3× median