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STATE OF MISSOURI

Local Education Agency (LEA)·JEFFERSON CITY, MO·NPI: 1942359781Share

Compared to Local Education Agency (LEA) Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.9M is at the 25th percentile among 12 Local Education Agency (LEA) providers.

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$38.9M

$38,937,685

Total Claims

644K

Beneficiaries

251K

2.6 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$3.8M
+9%
2019
$4.2M
-24%
2020
$3.2M
+55%
2021
$4.9M
+37%
2022
$6.8M
+43%
2023
$9.6M
-34%
2024
$6.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 42% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$16.5M

326K claims · 42.4%

Your Cost: $50.60/claim|Median: $33.11
1.5× median
92507Normal range

Speech/hearing/language treatment

$14.0M

268K claims · 36.0%

Your Cost: $52.22/claim|Median: $49.45
1.1× median
96112Top 25%

Developmental test administration

$2.5M

13K claims · 6.4%

Your Cost: $198.52/claim|Median: $102.95
1.9× median
E1399Top 25%

Durable medical equipment, miscellaneous

$2.4M

3,749 claims · 6.2%

Your Cost: $648.37/claim|Median: $104.06
6.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.1M

16K claims · 2.9%

Your Cost: $71.26/claim|Median: $74.63
1.0× median
L1907Top 10%

$856K

1,180 claims · 2.2%

Your Cost: $725.26/claim|Median: $399.34
1.8× median
A9900Normal range

$426K

7,242 claims · 1.1%

Your Cost: $58.80/claim|Median: $58.14
1.0× median
L2275Top 5%

$342K

1,917 claims · 0.9%

Your Cost: $178.33/claim|Median: $81.97
2.2× median
96111Top 5%

$338K

1,779 claims · 0.9%

Your Cost: $190.08/claim|Median: $86.72
2.2× median
L2280Top 10%

$96K

194 claims · 0.2%

Your Cost: $492.61/claim|Median: $292.43
1.7× median
97163Top 25%

PT evaluation, high complexity

$65K

592 claims · 0.2%

Your Cost: $109.69/claim|Median: $50.34
2.2× median
L1960Top 10%

$61K

94 claims · 0.2%

Your Cost: $651.85/claim|Median: $395.95
1.6× median
L3060Normal range

Foot insert, removable, soft foam, longitudinal arch support

$57K

1,024 claims · 0.1%

Your Cost: $56.00/claim|Median: $50.97
1.1× median
92523Normal range

Evaluation of speech sound production with language comprehension

$56K

1,994 claims · 0.1%

Your Cost: $28.12/claim|Median: $110.87
0.3× median
L2820Top 10%

$39K

424 claims · 0.1%

Your Cost: $92.88/claim|Median: $56.23
1.7× median
L2840Top 25%

$28K

246 claims · 0.1%

Your Cost: $113.47/claim|Median: $58.46
1.9× median
97167Top 25%

OT evaluation, high complexity

$9K

63 claims · 0.0%

Your Cost: $136.87/claim|Median: $70.96
1.9× median
L2999Normal range

$6K

102 claims · 0.0%

Your Cost: $55.61/claim|Median: $47.06
1.2× median
V5264Normal range

$0

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.58
V5266Normal range

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.52
92012Normal range

Ophthalmological exam, intermediate, established patient

$0

1,048 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.23
V5267Normal range

$0

48 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.85

Other Top Providers in Missouri

View all →

Compass Health Inc.

Community/Behavioral Health

$1.28B

Medical Transportation Management Inc.

Transportation Broker

$894.4M

Burrell Inc.

Community/Behavioral Health

$759.7M

Access2care LLC

Transportation Broker

$600.9M

State of Missouri

Psychologist, Rehabilitation

$493.6M

Similar Providers

Other top providers in Local Education Agency (LEA)

Commonwealth of Pennsylvania Department of Education

West Hazleton, PA

$326.0M

City of New York

Brooklyn, NY

$298.9M

Newark Public Schools

Newark, NJ

$145.8M

The Board of Education of the City of Chicago

Chicago, IL

$123.5M

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