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ABILITY CONNECTION TEXAS

Case Management·DALLAS, TX·NPI: 1811039225Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.2M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$33.2M

$33,230,004

Total Claims

257K

Beneficiaries

63K

4.1 claims/patient

Avg Cost/Claim

$129

Monthly Spending Trend

Yearly Spending

2018
$830K
-2%
2019
$816K
-1%
2020
$805K
+587%
2021
$5.5M
+56%
2022
$8.6M
+1%
2023
$8.7M
-10%
2024
$7.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 33 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 42% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$14.1M

25K claims · 42.5%

Your Cost: $561.86/claim|Median: $321.53
1.7× median
T2022Normal range

Case management, per month

$7.0M

39K claims · 21.2%

Your Cost: $179.61/claim|Median: $202.77
0.9× median
M0123Normal range

$2.0M

26K claims · 5.9%

Your Cost: $76.10/claim|Median: $76.14
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.6M

38K claims · 4.8%

Your Cost: $41.63/claim|Median: $83.88
0.5× median
M0124Top 1%

$1.1M

9,113 claims · 3.3%

Your Cost: $119.18/claim|Median: $119.18
1.0× median
M0125Top 1%

$1.0M

11K claims · 3.1%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
T2016Normal range

Habilitation, residential, waiver; per diem

$1.0M

8,444 claims · 3.1%

Your Cost: $122.24/claim|Median: $331.94
0.4× median
T2020Normal range

Day habilitation, waiver; per diem

$815K

21K claims · 2.5%

Your Cost: $39.15/claim|Median: $87.34
0.4× median
M0122Top 1%

$578K

7,966 claims · 1.7%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
S8990Normal range

$564K

9,047 claims · 1.7%

Your Cost: $62.39/claim|Median: $78.36
0.8× median
M0116Top 25%

$499K

15K claims · 1.5%

Your Cost: $33.89/claim|Median: $32.07
1.1× median
T2025Normal range

Waiver services, NOS; per 15 min

$446K

7,678 claims · 1.3%

Your Cost: $58.10/claim|Median: $124.39
0.5× median
D0120Top 1%

Periodic oral evaluation, established patient

$317K

471 claims · 1.0%

Your Cost: $673.18/claim|Median: $24.34
27.7× median
M0118Normal range

$302K

7,626 claims · 0.9%

Your Cost: $39.54/claim|Median: $38.00
1.0× median
M0117Normal range

$260K

5,325 claims · 0.8%

Your Cost: $48.85/claim|Median: $47.85
1.0× median
M0360Top 5%

$239K

1,581 claims · 0.7%

Your Cost: $151.35/claim|Median: $102.43
1.5× median
M0171Normal range

$209K

3,288 claims · 0.6%

Your Cost: $63.46/claim|Median: $73.78
0.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$195K

2,149 claims · 0.6%

Your Cost: $90.88/claim|Median: $84.12
1.1× median
M0135Normal range

$135K

1,693 claims · 0.4%

Your Cost: $79.55/claim|Median: $79.23
1.0× median
T1002Normal range

RN services, per 15 minutes

$105K

2,422 claims · 0.3%

Your Cost: $43.48/claim|Median: $37.42
1.2× median
M0133Normal range

$102K

1,100 claims · 0.3%

Your Cost: $92.55/claim|Median: $84.70
1.1× median
M0131Normal range

$100K

1,843 claims · 0.3%

Your Cost: $53.99/claim|Median: $72.01
0.7× median
M0101Top 5%

$95K

468 claims · 0.3%

Your Cost: $203.38/claim|Median: $65.66
3.1× median
M0113Top 25%

$93K

162 claims · 0.3%

Your Cost: $575.84/claim|Median: $397.30
1.4× median
M0115Top 25%

$83K

2,662 claims · 0.3%

Your Cost: $31.32/claim|Median: $29.58
1.1× median
T1003Normal range

LPN/LVN services, per 15 minutes

$79K

4,526 claims · 0.2%

Your Cost: $17.39/claim|Median: $24.24
0.7× median
S5199Top 5%

Personal care item, NOS, each

$53K

336 claims · 0.2%

Your Cost: $158.63/claim|Median: $10.82
14.7× median
M0299Normal range

$35K

972 claims · 0.1%

Your Cost: $35.62/claim|Median: $34.98
1.0× median
M0298Top 25%

$29K

1,425 claims · 0.1%

Your Cost: $20.45/claim|Median: $13.85
1.5× median
M0315Top 25%

$22K

492 claims · 0.1%

Your Cost: $45.30/claim|Median: $29.80
1.5× median
M0248Top 25%

$14K

1,071 claims · 0.0%

Your Cost: $13.28/claim|Median: $5.31
2.5× median
T1023Top 25%

Screening to determine appropriateness of consideration for program

$9K

30 claims · 0.0%

Your Cost: $285.95/claim|Median: $106.70
2.7× median
A9153Top 5%

$3K

21 claims · 0.0%

Your Cost: $129.61/claim|Median: $45.63
2.8× median

Other Top Providers in Texas

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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 Case Management

Department of Developmental Services

Southbridge, MA

$1.35B

Commonwealth of Massachusets

Beverly, MA

$1.14B

Commonwealth of Mass-dds

Hyde Park, MA

$1.10B

Community Assistance Resources & Extended Services INC

New York, NY

$1.04B

Stavros Center for Independent Living Inc.

Amherst, MA

$1.04B

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