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EASTER SEALS UCP NORTH CAROLINA & VIRGIINIA, INC.

Community/Behavioral Health·WILMINGTON, NC·NPI: 1871647503Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.2M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$19.2M

$19,176,451

Total Claims

151K

Beneficiaries

13K

11.8 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+0%
2019
$3.1M
+7%
2020
$3.3M
-30%
2021
$2.3M
-5%
2022
$2.2M
+16%
2023
$2.5M
+6%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (S5145 (Foster care, therapeutic, child, per diem)) accounts for 50% of total spending.

S5145Normal range

Foster care, therapeutic, child, per diem

$9.6M

64K claims · 50.3%

Your Cost: $151.64/claim|Median: $216.31
0.7× median
H0045Normal range

Respite care services, not in the home, per diem

$2.9M

35K claims · 15.4%

Your Cost: $83.08/claim|Median: $119.19
0.7× median
T2013Normal range

Habilitation, residential, waiver, per hour

$2.5M

16K claims · 12.8%

Your Cost: $149.92/claim|Median: $158.23
0.9× median
H2023Normal range

Supported employment, per 15 min

$1.6M

19K claims · 8.2%

Your Cost: $81.84/claim|Median: $103.94
0.8× median
T2012Normal range

Habilitation, educational; per 15 min

$1.2M

7,108 claims · 6.5%

Your Cost: $175.20/claim|Median: $177.54
1.0× median
T1017Top 10%

Targeted case management, per 15 min

$565K

1,872 claims · 2.9%

Your Cost: $302.04/claim|Median: $69.56
4.3× median
H2026Normal range

$514K

5,909 claims · 2.7%

Your Cost: $86.91/claim|Median: $76.18
1.1× median
T1019Top 25%

Personal care services, per 15 min

$233K

1,082 claims · 1.2%

Your Cost: $214.94/claim|Median: $82.47
2.6× median
S5150Top 25%

Unskilled respite care, per 15 min

$8K

49 claims · 0.0%

Your Cost: $160.97/claim|Median: $84.46
1.9× median