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CRITERION CHILD ENRICHMENT, INC.

Early Intervention Provider Agency·MILFORD, MA·NPI: 1881722437Share

Compared to Early Intervention Provider Agency Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.7M is at the 25th percentile among 14 Early Intervention Provider Agency providers.

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

Total Paid

$59.7M

$59,674,243

Total Claims

517K

Beneficiaries

180K

2.9 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2018
$10.5M
+6%
2019
$11.1M
-26%
2020
$8.3M
-12%
2021
$7.3M
-7%
2022
$6.8M
+11%
2023
$7.5M
+9%
2024
$8.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 54% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$32.2M

304K claims · 54.0%

Your Cost: $105.91/claim|Median: $96.24
1.1× median
T1024Top 25%

Evaluation & treatment, integrated specialty team

$15.2M

68K claims · 25.4%

Your Cost: $224.49/claim|Median: $119.08
1.9× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$4.6M

30K claims · 7.8%

Your Cost: $155.99/claim|Median: $84.12
1.9× median
96153Top 10%

Health/behavior intervention, group

$1.5M

24K claims · 2.6%

Your Cost: $65.74/claim|Median: $6.67
9.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.3M

13K claims · 2.2%

Your Cost: $103.96/claim|Median: $121.16
0.9× median
H0031Normal range

Mental health assessment by non-physician

$1.2M

8,019 claims · 2.0%

Your Cost: $145.96/claim|Median: $96.18
1.5× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$1.1M

27K claims · 1.9%

Your Cost: $42.70/claim|Median: $15.54
2.7× median
H0032Top 25%

Mental health service plan development

$1.1M

6,331 claims · 1.9%

Your Cost: $178.82/claim|Median: $80.64
2.2× median
96164Top 25%

$521K

27K claims · 0.9%

Your Cost: $19.27/claim|Median: $9.87
2.0× median
T1027Normal range

Family training and counseling, per 15 minutes

$466K

8,956 claims · 0.8%

Your Cost: $52.00/claim|Median: $53.00
1.0× median
H2012Normal range

Behavioral health day treatment, per hour

$275K

1,672 claims · 0.5%

Your Cost: $164.28/claim|Median: $137.86
1.2× median
97156Normal range

$40K

379 claims · 0.1%

Your Cost: $104.40/claim|Median: $88.65
1.2× median