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EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA

Community/Behavioral Health·ROCKY MOUNT, NC·NPI: 1912141227Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $69.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$69.4M

$69,376,380

Total Claims

325K

Beneficiaries

14K

23.7 claims/patient

Avg Cost/Claim

$214

Monthly Spending Trend

Yearly Spending

2018
$7.8M
+4%
2019
$8.1M
+14%
2020
$9.2M
-2%
2021
$9.0M
-1%
2022
$8.8M
+49%
2023
$13.1M
+2%
2024
$13.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 38% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$26.6M

118K claims · 38.4%

Your Cost: $225.45/claim|Median: $321.53
0.7× median
T2020Top 25%

Day habilitation, waiver; per diem

$19.3M

88K claims · 27.8%

Your Cost: $219.82/claim|Median: $87.34
2.5× median
T2014Top 25%

Habilitation, prevocational, waiver, per hour

$8.3M

44K claims · 12.0%

Your Cost: $191.14/claim|Median: $74.75
2.6× median
T2013Normal range

Habilitation, residential, waiver, per hour

$4.2M

28K claims · 6.1%

Your Cost: $149.69/claim|Median: $158.23
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$4.1M

38K claims · 5.9%

Your Cost: $109.44/claim|Median: $96.24
1.1× median
T1019Top 1%

Personal care services, per 15 min

$4.1M

1,614 claims · 5.9%

Your Cost: $2,524.24/claim|Median: $82.47
30.6× median
T2016Normal range

Habilitation, residential, waiver; per diem

$2.6M

6,350 claims · 3.8%

Your Cost: $416.99/claim|Median: $331.94
1.3× median
S5150Normal range

Unskilled respite care, per 15 min

$105K

1,573 claims · 0.2%

Your Cost: $66.48/claim|Median: $84.46
0.8× median