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EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·AUSTIN, TX·NPI: 1871794933Share

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 $62.1M is at the 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2020-03→2024-12(53 months)

Total Paid

$62.1M

$62,058,291

Total Claims

584K

Beneficiaries

46K

12.6 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2020
$43K
+26530%
2021
$11.5M
+46%
2022
$16.8M
+1%
2023
$17.0M
-2%
2024
$16.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 61% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$38.0M

200K claims · 61.2%

Your Cost: $190.20/claim|Median: $321.53
0.6× median
M0150Normal range

$4.0M

25K claims · 6.4%

Your Cost: $161.04/claim|Median: $161.06
1.0× median
H2014Normal range

Skills training & development, per 15 min

$3.4M

71K claims · 5.4%

Your Cost: $47.72/claim|Median: $83.88
0.6× median
M0123Top 1%

$2.3M

31K claims · 3.8%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0152Normal range

$2.1M

12K claims · 3.4%

Your Cost: $174.59/claim|Median: $174.64
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$2.0M

47K claims · 3.3%

Your Cost: $42.93/claim|Median: $87.34
0.5× median
M0167Normal range

$1.7M

11K claims · 2.7%

Your Cost: $161.44/claim|Median: $158.84
1.0× median
M0116Normal range

$1.5M

44K claims · 2.4%

Your Cost: $33.33/claim|Median: $32.07
1.0× median
M0122Top 1%

$1.2M

16K claims · 1.9%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0125Top 1%

$971K

10K claims · 1.6%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
M0166Normal range

$859K

5,659 claims · 1.4%

Your Cost: $151.79/claim|Median: $151.35
1.0× median
M0118Top 25%

$619K

15K claims · 1.0%

Your Cost: $40.45/claim|Median: $38.00
1.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$519K

4,636 claims · 0.8%

Your Cost: $112.01/claim|Median: $84.12
1.3× median
T1002Normal range

RN services, per 15 minutes

$515K

18K claims · 0.8%

Your Cost: $28.08/claim|Median: $37.42
0.8× median
T1003Normal range

LPN/LVN services, per 15 minutes

$510K

30K claims · 0.8%

Your Cost: $16.98/claim|Median: $24.24
0.7× median
M0115Normal range

$383K

12K claims · 0.6%

Your Cost: $30.80/claim|Median: $29.58
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$349K

827 claims · 0.6%

Your Cost: $421.85/claim|Median: $24.34
17.3× median
M0299Normal range

$317K

11K claims · 0.5%

Your Cost: $29.41/claim|Median: $34.98
0.8× median
M0113Normal range

$186K

493 claims · 0.3%

Your Cost: $377.70/claim|Median: $397.30
1.0× median
M0298Normal range

$155K

9,321 claims · 0.2%

Your Cost: $16.61/claim|Median: $13.85
1.2× median
M0133Top 25%

$127K

991 claims · 0.2%

Your Cost: $128.20/claim|Median: $84.70
1.5× median
M0149Top 1%

$119K

671 claims · 0.2%

Your Cost: $177.81/claim|Median: $152.21
1.2× median
M0117Top 5%

$110K

2,048 claims · 0.2%

Your Cost: $53.83/claim|Median: $47.85
1.1× median
M0315Normal range

$38K

1,184 claims · 0.1%

Your Cost: $32.24/claim|Median: $29.80
1.1× median
M0101Normal range

$34K

698 claims · 0.1%

Your Cost: $48.30/claim|Median: $65.66
0.7× median
A9153Normal range

$33K

1,293 claims · 0.1%

Your Cost: $25.86/claim|Median: $45.63
0.6× median
S5199Top 10%

Personal care item, NOS, each

$26K

274 claims · 0.0%

Your Cost: $95.05/claim|Median: $10.82
8.8× median
M0248Normal range

$11K

2,322 claims · 0.0%

Your Cost: $4.55/claim|Median: $5.31
0.9× median

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The Devereux Foundation

Cherry Hill, NJ

$401.2M

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Ballwin, MO

$349.0M

Ability360, Inc,

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$274.7M

Divine House, Inc.

Willmar, MN

$230.9M

Rem New Jersey, Inc.

Somerset, NJ

$217.9M

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