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Connecting With Community

Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child·Colorado Springs, CO·NPI: 1811226905SharePrint ReportML Risk: 86%

Compared to Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $545K is at the below 25th percentile among 5 Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child providers.

Total Paid

$545K

$544,918

Total Claims

6,925

Beneficiaries

2,072

3.3 claims/patient

Avg Cost/Claim

$79

🔍 Analysis

Provider Overview

Connecting With Community is a Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child provider based in Colorado Springs, CO. From 2018-01 through 2020-05, this provider received $545K in Medicaid payments across 7K claims serving 2K beneficiaries, billing 7 distinct procedure codes.

Key Findings

  • 📊81% of billing is concentrated in T2021 (T2021), indicating significant specialization in this service.
  • 📊Billing stopped in 2020-05, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2018
$278K
-23%
2019
$214K
-75%
2020
$53K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T2021 (Day habilitation, waiver; per 15 min)) accounts for 81% of total spending.

T2021Normal range

Day habilitation, waiver; per 15 min

$443K

4,528 claims · 81.3%

Your Cost: $97.84/claim|Median: $150.51
0.7× median
T1019Normal range

Personal care services, per 15 min

$60K

1,195 claims · 11.0%

Your Cost: $49.99/claim|Median: $82.47
0.6× median
S5130Normal range

Homemaker service, NOS; per 15 min

$18K

363 claims · 3.2%

Your Cost: $48.58/claim|Median: $48.76
1.0× median
H2021Normal range

Community-based wrap-around services, per 15 min

$17K

365 claims · 3.1%

Your Cost: $46.85/claim|Median: $169.11
0.3× median
T2003Normal range

Non-emergency transport; encounter/trip

$5K

305 claims · 0.8%

Your Cost: $14.88/claim|Median: $21.70
0.7× median
T2004Normal range

Non-emergency transportation, commercial carrier, encounter trip

$3K

55 claims · 0.5%

Your Cost: $52.15/claim|Median: $8.80
5.9× median
T2034Normal range

Crisis intervention, per 15 min

$0

114 claims · 0.0%

Your Cost: $0.00/claim|Median: $254.45

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