Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

COMMUNITY INNOVATIONS

Community/Behavioral Health·WHITEVILLE, NC·NPI: 1912099623Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $73.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$73.8M

$73,849,113

Total Claims

467K

Beneficiaries

21K

22.0 claims/patient

Avg Cost/Claim

$158

Monthly Spending Trend

Yearly Spending

2018
$6.4M
+38%
2019
$8.8M
+10%
2020
$9.7M
-0%
2021
$9.7M
+11%
2022
$10.7M
+38%
2023
$14.8M
-8%
2024
$13.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 22% of total spending.

T2013Normal range

Habilitation, residential, waiver, per hour

$16.5M

101K claims · 22.4%

Your Cost: $164.36/claim|Median: $158.23
1.0× median
T2020Top 25%

Day habilitation, waiver; per diem

$16.1M

91K claims · 21.8%

Your Cost: $175.75/claim|Median: $87.34
2.0× median
T2014Top 25%

Habilitation, prevocational, waiver, per hour

$10.3M

68K claims · 14.0%

Your Cost: $152.27/claim|Median: $74.75
2.0× median
T2021Normal range

Day habilitation, waiver; per 15 min

$9.7M

73K claims · 13.1%

Your Cost: $133.48/claim|Median: $150.51
0.9× median
H2016Normal range

Comprehensive community support services, per 15 min

$9.3M

49K claims · 12.6%

Your Cost: $192.11/claim|Median: $321.53
0.6× median
T2012Normal range

Habilitation, educational; per 15 min

$5.9M

30K claims · 8.0%

Your Cost: $199.30/claim|Median: $177.54
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$4.1M

38K claims · 5.5%

Your Cost: $107.39/claim|Median: $96.24
1.1× median
S5150Normal range

Unskilled respite care, per 15 min

$1.0M

11K claims · 1.4%

Your Cost: $92.80/claim|Median: $84.46
1.1× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$954K

7,929 claims · 1.3%

Your Cost: $120.26/claim|Median: $100.49
1.2× median