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SOUTHERN CONCEPTS INC

Intermediate Care Facility, Intellectual Disabilities·BENBROOK, TX·NPI: 1891823381Share
Active Billing Period:2020-04→2024-12(53 months)

Total Paid

$24.9M

$24,928,872

Total Claims

213K

Beneficiaries

22K

9.8 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2020
$41K
+10409%
2021
$4.3M
+62%
2022
$7.0M
-5%
2023
$6.7M
+2%
2024
$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 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

$15.2M

63K claims · 60.9%

Your Cost: $239.12/claim|Median: $321.53
0.7× median
H2014Normal range

Skills training & development, per 15 min

$1.7M

32K claims · 7.0%

Your Cost: $54.46/claim|Median: $83.88
0.6× median
M0150Normal range

$1.6M

10K claims · 6.6%

Your Cost: $160.92/claim|Median: $161.06
1.0× median
M0152Normal range

$944K

5,388 claims · 3.8%

Your Cost: $175.23/claim|Median: $174.64
1.0× median
M0123Top 1%

$864K

11K claims · 3.5%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0167Top 25%

$847K

5,229 claims · 3.4%

Your Cost: $162.01/claim|Median: $158.84
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$714K

8,013 claims · 2.9%

Your Cost: $89.07/claim|Median: $87.34
1.0× median
M0116Normal range

$500K

19K claims · 2.0%

Your Cost: $27.00/claim|Median: $32.07
0.8× median
M0122Top 1%

$477K

6,572 claims · 1.9%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$452K

6,793 claims · 1.8%

Your Cost: $66.56/claim|Median: $84.12
0.8× median
T1002Normal range

RN services, per 15 minutes

$317K

8,007 claims · 1.3%

Your Cost: $39.65/claim|Median: $37.42
1.1× median
M0118Normal range

$210K

6,392 claims · 0.8%

Your Cost: $32.82/claim|Median: $38.00
0.9× median
M0117Normal range

$184K

4,261 claims · 0.7%

Your Cost: $43.07/claim|Median: $47.85
0.9× median
M0115Normal range

$157K

5,669 claims · 0.6%

Your Cost: $27.62/claim|Median: $29.58
0.9× median
M0299Normal range

$149K

5,250 claims · 0.6%

Your Cost: $28.47/claim|Median: $34.98
0.8× median
T1003Normal range

LPN/LVN services, per 15 minutes

$136K

7,202 claims · 0.5%

Your Cost: $18.88/claim|Median: $24.24
0.8× median
M0113Top 25%

$131K

251 claims · 0.5%

Your Cost: $523.83/claim|Median: $397.30
1.3× median
M0133Normal range

$76K

1,170 claims · 0.3%

Your Cost: $65.17/claim|Median: $84.70
0.8× median
M0298Top 25%

$69K

3,700 claims · 0.3%

Your Cost: $18.57/claim|Median: $13.85
1.3× median
D9220Top 5%

$58K

125 claims · 0.2%

Your Cost: $464.88/claim|Median: $215.77
2.2× median
M0101Normal range

$41K

1,036 claims · 0.2%

Your Cost: $39.69/claim|Median: $65.66
0.6× median
D0120Top 1%

Periodic oral evaluation, established patient

$26K

69 claims · 0.1%

Your Cost: $376.07/claim|Median: $24.34
15.5× median
M0315Normal range

$13K

346 claims · 0.1%

Your Cost: $37.71/claim|Median: $29.80
1.3× median
M0248Normal range

$4K

1,283 claims · 0.0%

Your Cost: $2.74/claim|Median: $5.31
0.5× median
S5199Normal range

Personal care item, NOS, each

$2K

365 claims · 0.0%

Your Cost: $6.62/claim|Median: $10.82
0.6× median
A9153Normal range

$2K

103 claims · 0.0%

Your Cost: $15.01/claim|Median: $45.63
0.3× median

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