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EASTER SEALS NEW JERSEY

Community Based Residential Treatment Facility, Mental Illness·TOMS RIVER, NJ·NPI: 1952424103Share

Compared to Community Based Residential Treatment Facility, Mental Illness Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.9M is at the 50th percentile among 5 Community Based Residential Treatment Facility, Mental Illness providers.

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

Total Paid

$38.9M

$38,870,696

Total Claims

161K

Beneficiaries

13K

12.7 claims/patient

Avg Cost/Claim

$242

Monthly Spending Trend

Yearly Spending

2018
$5.9M
-7%
2019
$5.5M
-4%
2020
$5.3M
+9%
2021
$5.7M
+0%
2022
$5.7M
-14%
2023
$4.9M
+18%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 89% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$34.5M

147K claims · 88.8%

Your Cost: $234.27/claim|Median: $357.16
0.7× median
H0046Top 10%

Mental health services, not otherwise specified

$3.0M

7,267 claims · 7.6%

Your Cost: $407.12/claim|Median: $85.02
4.8× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$1.4M

5,851 claims · 3.6%

Your Cost: $236.29/claim|Median: $392.63
0.6× median

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