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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·AUSTIN, TX·NPI: 1871704544Share

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 $29.7M is at the 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2020-12→2024-12(49 months)

Total Paid

$29.7M

$29,694,305

Total Claims

267K

Beneficiaries

23K

11.8 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2020
$18K
+26032%
2021
$4.6M
+77%
2022
$8.2M
+2%
2023
$8.4M
+2%
2024
$8.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 63% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$18.8M

97K claims · 63.5%

Your Cost: $193.64/claim|Median: $321.53
0.6× median
M0150Normal range

$2.8M

17K claims · 9.5%

Your Cost: $161.68/claim|Median: $161.06
1.0× median
H2014Normal range

Skills training & development, per 15 min

$2.2M

44K claims · 7.3%

Your Cost: $49.64/claim|Median: $83.88
0.6× median
M0152Normal range

$1.1M

6,468 claims · 3.8%

Your Cost: $175.13/claim|Median: $174.64
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$994K

21K claims · 3.3%

Your Cost: $46.31/claim|Median: $87.34
0.5× median
M0123Top 1%

$876K

12K claims · 3.0%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0116Normal range

$736K

23K claims · 2.5%

Your Cost: $32.47/claim|Median: $32.07
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$383K

3,373 claims · 1.3%

Your Cost: $113.46/claim|Median: $84.12
1.3× median
T1002Normal range

RN services, per 15 minutes

$294K

8,519 claims · 1.0%

Your Cost: $34.47/claim|Median: $37.42
0.9× median
M0118Normal range

$289K

8,006 claims · 1.0%

Your Cost: $36.07/claim|Median: $38.00
0.9× median
M0122Top 1%

$219K

3,017 claims · 0.7%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0299Normal range

$187K

6,040 claims · 0.6%

Your Cost: $30.88/claim|Median: $34.98
0.9× median
D0120Top 1%

Periodic oral evaluation, established patient

$172K

311 claims · 0.6%

Your Cost: $553.84/claim|Median: $24.34
22.8× median
M0133Normal range

$133K

1,447 claims · 0.4%

Your Cost: $91.58/claim|Median: $84.70
1.1× median
M0115Normal range

$102K

3,606 claims · 0.3%

Your Cost: $28.27/claim|Median: $29.58
1.0× median
M0113Top 25%

$90K

150 claims · 0.3%

Your Cost: $600.37/claim|Median: $397.30
1.5× median
T1003Normal range

LPN/LVN services, per 15 minutes

$88K

5,521 claims · 0.3%

Your Cost: $15.92/claim|Median: $24.24
0.7× median
M0101Normal range

$49K

689 claims · 0.2%

Your Cost: $71.72/claim|Median: $65.66
1.1× median
A9153Normal range

$41K

1,018 claims · 0.1%

Your Cost: $40.22/claim|Median: $45.63
0.9× median
M0149Normal range

$37K

248 claims · 0.1%

Your Cost: $147.54/claim|Median: $152.21
1.0× median
M0298Normal range

$29K

2,204 claims · 0.1%

Your Cost: $13.15/claim|Median: $13.85
0.9× median
M0315Top 25%

$13K

315 claims · 0.0%

Your Cost: $39.70/claim|Median: $29.80
1.3× median
M0248Normal range

$8K

1,649 claims · 0.0%

Your Cost: $4.63/claim|Median: $5.31
0.9× median
S5199Normal range

Personal care item, NOS, each

$5K

152 claims · 0.0%

Your Cost: $35.94/claim|Median: $10.82
3.3× median

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$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

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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

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