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QUEST PROVIDER SERVICES LLC

Community/Behavioral Health·CHARLOTTE, NC·NPI: 1932367638Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $55.5M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$55.5M

$55,546,174

Total Claims

283K

Beneficiaries

20K

14.4 claims/patient

Avg Cost/Claim

$196

Monthly Spending Trend

Yearly Spending

2018
$5.4M
+4%
2019
$5.6M
+11%
2020
$6.2M
+23%
2021
$7.6M
-0%
2022
$7.6M
+34%
2023
$10.3M
+24%
2024
$12.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 46% of total spending.

97153Top 5%

Adaptive behavior treatment by protocol, per 15 min

$25.5M

62K claims · 46.0%

Your Cost: $413.07/claim|Median: $167.38
2.5× median
T2013Normal range

Habilitation, residential, waiver, per hour

$8.0M

55K claims · 14.4%

Your Cost: $146.99/claim|Median: $158.23
0.9× median
T2021Normal range

Day habilitation, waiver; per 15 min

$5.7M

46K claims · 10.3%

Your Cost: $123.07/claim|Median: $150.51
0.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$4.7M

26K claims · 8.5%

Your Cost: $182.88/claim|Median: $321.53
0.6× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$4.2M

25K claims · 7.6%

Your Cost: $166.52/claim|Median: $146.45
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.0M

25K claims · 3.6%

Your Cost: $81.61/claim|Median: $96.24
0.8× median
T2020Top 25%

Day habilitation, waiver; per diem

$1.7M

11K claims · 3.1%

Your Cost: $153.48/claim|Median: $87.34
1.8× median
T2012Normal range

Habilitation, educational; per 15 min

$1.5M

9,700 claims · 2.8%

Your Cost: $158.39/claim|Median: $177.54
0.9× median
S5150Normal range

Unskilled respite care, per 15 min

$1.0M

15K claims · 1.8%

Your Cost: $65.85/claim|Median: $84.46
0.8× median
97152Normal range

$471K

2,025 claims · 0.8%

Your Cost: $232.79/claim|Median: $155.16
1.5× median
97156Normal range

$297K

4,408 claims · 0.5%

Your Cost: $67.46/claim|Median: $88.65
0.8× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$182K

1,399 claims · 0.3%

Your Cost: $130.29/claim|Median: $100.49
1.3× median
97151Normal range

Behavior identification assessment

$76K

371 claims · 0.1%

Your Cost: $205.39/claim|Median: $161.10
1.3× median
T2013TFNormal range

$21K

138 claims · 0.0%

Your Cost: $154.44/claim|Median: $168.77
0.9× median
H2016HINormal range

$15K

78 claims · 0.0%

Your Cost: $189.91/claim|Median: $191.08
1.0× median
T2021CRNormal range

$10K

75 claims · 0.0%

Your Cost: $132.50/claim|Median: $132.50
1.0× median
99509Top 25%

Home visit, assistance w/ ADLs

$9K

112 claims · 0.0%

Your Cost: $83.10/claim|Median: $51.71
1.6× median

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