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

⚖️ Compare🖨️ Print Report

ABUNDANT LIFE HCS

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·MOUNT VERNON, TX·NPI: 1801838461Share

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 $20.6M is at the below 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2020-11→2024-12(50 months)

Total Paid

$20.6M

$20,567,895

Total Claims

175K

Beneficiaries

17K

10.0 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2020
$3K
+148384%
2021
$3.8M
+90%
2022
$7.3M
-8%
2023
$6.7M
-58%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 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

$12.5M

48K claims · 60.9%

Your Cost: $259.66/claim|Median: $321.53
0.8× median
M0123Normal range

$1.4M

18K claims · 6.7%

Your Cost: $76.12/claim|Median: $76.14
1.0× median
M0122Top 1%

$962K

13K claims · 4.7%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0125Top 1%

$941K

10K claims · 4.6%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
M0150Normal range

$935K

6,123 claims · 4.5%

Your Cost: $152.73/claim|Median: $161.06
0.9× median
H2014Normal range

Skills training & development, per 15 min

$931K

21K claims · 4.5%

Your Cost: $43.62/claim|Median: $83.88
0.5× median
T2020Normal range

Day habilitation, waiver; per diem

$703K

9,459 claims · 3.4%

Your Cost: $74.36/claim|Median: $87.34
0.9× median
M0116Normal range

$467K

15K claims · 2.3%

Your Cost: $31.49/claim|Median: $32.07
1.0× median
M0118Normal range

$346K

9,310 claims · 1.7%

Your Cost: $37.18/claim|Median: $38.00
1.0× median
M0167Top 10%

$235K

1,439 claims · 1.1%

Your Cost: $163.64/claim|Median: $158.84
1.0× median
T1002Normal range

RN services, per 15 minutes

$170K

2,761 claims · 0.8%

Your Cost: $61.57/claim|Median: $37.42
1.6× median
M0115Normal range

$158K

5,495 claims · 0.8%

Your Cost: $28.71/claim|Median: $29.58
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$108K

1,277 claims · 0.5%

Your Cost: $84.70/claim|Median: $84.12
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$105K

261 claims · 0.5%

Your Cost: $401.35/claim|Median: $24.34
16.5× median
M0133Normal range

$105K

1,174 claims · 0.5%

Your Cost: $89.07/claim|Median: $84.70
1.1× median
T1003Normal range

LPN/LVN services, per 15 minutes

$103K

2,216 claims · 0.5%

Your Cost: $46.54/claim|Median: $24.24
1.9× median
M0152Normal range

$96K

601 claims · 0.5%

Your Cost: $160.29/claim|Median: $174.64
0.9× median
M0298Normal range

$76K

4,901 claims · 0.4%

Your Cost: $15.48/claim|Median: $13.85
1.1× median
M0113Normal range

$69K

186 claims · 0.3%

Your Cost: $369.87/claim|Median: $397.30
0.9× median
M0117Top 25%

$50K

1,005 claims · 0.2%

Your Cost: $49.42/claim|Median: $47.85
1.0× median
M0299Normal range

$48K

1,287 claims · 0.2%

Your Cost: $36.96/claim|Median: $34.98
1.1× median
M0101Normal range

$37K

498 claims · 0.2%

Your Cost: $73.37/claim|Median: $65.66
1.1× median
A9153Normal range

$22K

301 claims · 0.1%

Your Cost: $72.33/claim|Median: $45.63
1.6× median
M0315Normal range

$11K

370 claims · 0.1%

Your Cost: $30.88/claim|Median: $29.80
1.0× median
M0248Normal range

$5K

792 claims · 0.0%

Your Cost: $6.53/claim|Median: $5.31
1.2× median

Other Top Providers in Texas

View all →

Girling Health Care Inc.

Home Health

$858.2M

Aoc TX LLC

Home Health

$708.5M

Consumer Directed Services in Texas Inc.

Supports Brokerage

$624.8M

Caregivers Home Health TX INC

Nursing Care

$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

Similar Providers

Other top providers in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

The Devereux Foundation

Cherry Hill, NJ

$401.2M

Easter Seals Midwest

Ballwin, MO

$349.0M

Ability360, Inc,

Phoenix, AZ

$274.7M

Divine House, Inc.

Willmar, MN

$230.9M

Rem New Jersey, Inc.

Somerset, NJ

$217.9M

← All providersAll providers in Texas →How we detect fraud →