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DECEMBER NINE COMPANY LTD

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·EL PASO, TX·NPI: 1790860666Share

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 $26.0M is at the below 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2021-012024-12(48 months)

Total Paid

$26.0M

$26,046,599

Total Claims

222K

Beneficiaries

33K

6.8 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2021
$4.6M
+61%
2022
$7.4M
-6%
2023
$6.9M
+2%
2024
$7.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 61% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$16.0M

32K claims · 61.4%

Your Cost: $495.66/claim|Median: $321.53
1.5× median
M0123Top 1%

$2.5M

33K claims · 9.7%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0122Top 1%

$1.6M

22K claims · 6.2%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.5M

32K claims · 5.7%

Your Cost: $46.16/claim|Median: $83.88
0.6× median
M0125Top 1%

$1.2M

13K claims · 4.8%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$839K

19K claims · 3.2%

Your Cost: $43.53/claim|Median: $87.34
0.5× median
M0116Normal range

$510K

16K claims · 2.0%

Your Cost: $31.84/claim|Median: $32.07
1.0× median
M0118Normal range

$290K

7,683 claims · 1.1%

Your Cost: $37.69/claim|Median: $38.00
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$286K

18K claims · 1.1%

Your Cost: $15.90/claim|Median: $24.24
0.7× median
D0120Top 1%

Periodic oral evaluation, established patient

$275K

810 claims · 1.1%

Your Cost: $339.17/claim|Median: $24.34
13.9× median
T1002Normal range

RN services, per 15 minutes

$207K

3,484 claims · 0.8%

Your Cost: $59.42/claim|Median: $37.42
1.6× median
M0115Normal range

$176K

6,093 claims · 0.7%

Your Cost: $28.96/claim|Median: $29.58
1.0× median
M0113Normal range

$146K

449 claims · 0.6%

Your Cost: $324.20/claim|Median: $397.30
0.8× median
M0298Normal range

$113K

6,415 claims · 0.4%

Your Cost: $17.54/claim|Median: $13.85
1.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$92K

1,035 claims · 0.4%

Your Cost: $89.27/claim|Median: $84.12
1.1× median
M0299Top 25%

$77K

1,143 claims · 0.3%

Your Cost: $67.59/claim|Median: $34.98
1.9× median
A9153Normal range

$50K

2,019 claims · 0.2%

Your Cost: $24.62/claim|Median: $45.63
0.5× median
M0133Normal range

$37K

425 claims · 0.1%

Your Cost: $88.14/claim|Median: $84.70
1.0× median
M0315Normal range

$27K

1,122 claims · 0.1%

Your Cost: $23.89/claim|Median: $29.80
0.8× median
M0101Normal range

$24K

941 claims · 0.1%

Your Cost: $25.02/claim|Median: $65.66
0.4× median
S8990Normal range

$23K

301 claims · 0.1%

Your Cost: $77.07/claim|Median: $78.36
1.0× median
M0248Normal range

$7K

3,169 claims · 0.0%

Your Cost: $2.24/claim|Median: $5.31
0.4× median
S5199Normal range

Personal care item, NOS, each

$4K

223 claims · 0.0%

Your Cost: $18.93/claim|Median: $10.82
1.7× median
T2025Normal range

Waiver services, NOS; per 15 min

$4K

76 claims · 0.0%

Your Cost: $52.11/claim|Median: $124.39
0.4× median

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