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ENCORE ADHC, LLC

Clinic/Center, Adult Day Care·LEXINGTON, KY·NPI: 1962932327Share

Compared to Clinic/Center, Adult Day Care Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $52.0M is at the 50th percentile among 5 Clinic/Center, Adult Day Care providers.

Active Billing Period:2018-012023-05(65 months)
Billing appears to have stoppedLast active: 2023-05

Total Paid

$52.0M

$51,976,963

Total Claims

355K

Beneficiaries

43K

8.2 claims/patient

Avg Cost/Claim

$146

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+364%
2019
$6.9M
+80%
2020
$12.3M
-17%
2021
$10.3M
+52%
2022
$15.5M
-64%
2023
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (S5108 (Home care training to home care client, per 15 minutes)) accounts for 89% of total spending.

S5108Top 25%

Home care training to home care client, per 15 minutes

$46.3M

272K claims · 89.2%

Your Cost: $170.12/claim|Median: $107.36
1.6× median
S5100Normal range

Day care services, adult, per half day

$3.0M

48K claims · 5.7%

Your Cost: $61.13/claim|Median: $67.58
0.9× median
T1016Top 25%

Case management, each 15 min

$1.7M

18K claims · 3.2%

Your Cost: $95.12/claim|Median: $49.62
1.9× median
S5170Normal range

Homemaker service, NOS, per diem

$1.0M

16K claims · 1.9%

Your Cost: $61.21/claim|Median: $19.89
3.1× median

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