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EASTER SEALS MIDWEST

Behavior Analyst·SAINT LOUIS, MO·NPI: 1871625582Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.2M is at the 75th percentile among 31 Behavior Analyst providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$35.2M

$35,238,069

Total Claims

236K

Beneficiaries

30K

7.9 claims/patient

Avg Cost/Claim

$149

Monthly Spending Trend

Yearly Spending

2018
$6.1M
-10%
2019
$5.6M
-56%
2020
$2.5M
+22%
2021
$3.0M
+52%
2022
$4.5M
+40%
2023
$6.4M
+13%
2024
$7.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (T2021 (Day habilitation, waiver; per 15 min)) accounts for 69% of total spending.

T2021Normal range

Day habilitation, waiver; per 15 min

$24.4M

142K claims · 69.2%

Your Cost: $172.00/claim|Median: $150.51
1.1× median
S5108Normal range

Home care training to home care client, per 15 minutes

$4.4M

47K claims · 12.4%

Your Cost: $93.18/claim|Median: $107.36
0.9× median
H2023Top 25%

Supported employment, per 15 min

$2.1M

12K claims · 6.0%

Your Cost: $177.49/claim|Median: $103.94
1.7× median
T2001Top 10%

Non-emergency transportation, patient attendant or aide

$983K

4,338 claims · 2.8%

Your Cost: $226.57/claim|Median: $19.61
11.6× median
S5136Normal range

Companion care, adult, per 15 minutes

$932K

5,484 claims · 2.6%

Your Cost: $169.89/claim|Median: $302.34
0.6× median
A0120Top 5%

Non-emergency mini-bus transport

$820K

2,167 claims · 2.3%

Your Cost: $378.50/claim|Median: $16.09
23.5× median
T1002Normal range

RN services, per 15 minutes

$488K

7,728 claims · 1.4%

Your Cost: $63.10/claim|Median: $37.42
1.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$359K

2,215 claims · 1.0%

Your Cost: $161.89/claim|Median: $146.45
1.1× median
A0110Top 25%

Non-emergency taxi transport

$191K

7,775 claims · 0.5%

Your Cost: $24.51/claim|Median: $9.27
2.6× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$172K

1,050 claims · 0.5%

Your Cost: $163.71/claim|Median: $167.38
1.0× median
T1019Normal range

Personal care services, per 15 min

$158K

1,180 claims · 0.4%

Your Cost: $133.49/claim|Median: $82.47
1.6× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$108K

961 claims · 0.3%

Your Cost: $112.81/claim|Median: $100.49
1.1× median
0369TNormal range

$38K

353 claims · 0.1%

Your Cost: $109.02/claim|Median: $102.36
1.1× median
97156Normal range

$33K

416 claims · 0.1%

Your Cost: $79.38/claim|Median: $88.65
0.9× median
T1016Normal range

Case management, each 15 min

$17K

330 claims · 0.0%

Your Cost: $52.72/claim|Median: $49.62
1.1× median
0368TNormal range

$14K

316 claims · 0.0%

Your Cost: $44.93/claim|Median: $44.63
1.0× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$11K

306 claims · 0.0%

Your Cost: $36.12/claim|Median: $106.05
0.3× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$10K

159 claims · 0.0%

Your Cost: $61.71/claim|Median: $88.91
0.7× median
0370TNormal range

$7K

98 claims · 0.0%

Your Cost: $66.95/claim|Median: $88.49
0.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$6K

65 claims · 0.0%

Your Cost: $99.64/claim|Median: $55.04
1.8× median
0364TNormal range

$4K

282 claims · 0.0%

Your Cost: $14.86/claim|Median: $21.31
0.7× median

Other Top Providers in Missouri

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Compass Health Inc.

Community/Behavioral Health

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Medical Transportation Management Inc.

Transportation Broker

$894.4M

Burrell Inc.

Community/Behavioral Health

$759.7M

Access2care LLC

Transportation Broker

$600.9M

State of Missouri

Psychologist, Rehabilitation

$493.6M

Similar Providers

Other top providers in Behavior Analyst

California Psychcare, Inc.

Van Nuys, CA

$154.8M

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Anaconda, MT

$140.4M

Gateway Pediatric Therapy LLC

Bingham Farms, MI

$124.9M

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