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Looking Upwards Inc.

Day Training Developmentally Disabled Services·Portsmouth, RI·NPI: 1164543765Share

Compared to Day Training Developmentally Disabled Services Peers

Total spending distribution among 22 providers in this specialty

P25MedianP75P90

This provider's total spending of $136.3M is at the 50th percentile among 22 Day Training Developmentally Disabled Services providers.

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

Total Paid

$136.3M

$136,251,697

Total Claims

205K

Beneficiaries

66K

3.1 claims/patient

Avg Cost/Claim

$665

#827 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Looking Upwards Inc. is a Day Training Developmentally Disabled Services provider based in Portsmouth, RI. From the 2018–2024 period, this provider received $136.3M in Medicaid payments across 205K claims.

Why This Matters

This provider received $136.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,031 Medicaid beneficiaries for a full year at average per-enrollee costs.

36% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$16.9M
+0%
2019
$16.9M
-6%
2020
$15.8M
+19%
2021
$18.8M
+12%
2022
$21.0M
+13%
2023
$23.8M
-4%
2024
$22.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (T2033 (Residential care, NOS; per diem)) accounts for 61% of total spending.

T2033Top 25%

Residential care, NOS; per diem

$83.3M

31K claims · 61.2%

Your Cost: $2,707.95/claim|Median: $1,051.57
2.6× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$27.0M

76K claims · 19.8%

Your Cost: $355.88/claim|Median: $150.51
2.4× median
T2017Top 25%

Habilitation, residential, waiver; 15 min

$11.7M

31K claims · 8.6%

Your Cost: $380.37/claim|Median: $137.32
2.8× median
T2003Top 5%

Non-emergency transport; encounter/trip

$6.5M

38K claims · 4.8%

Your Cost: $173.08/claim|Median: $21.70
8.0× median
T2022Normal range

Case management, per month

$2.5M

15K claims · 1.8%

Your Cost: $159.45/claim|Median: $202.77
0.8× median
T2016Top 25%

Habilitation, residential, waiver; per diem

$2.4M

2K claims · 1.8%

Your Cost: $1,193.28/claim|Median: $331.94
3.6× median
T2019Top 25%

Habilitation, prevocational, waiver; per 15 min

$2.0M

6K claims · 1.4%

Your Cost: $317.81/claim|Median: $88.91
3.6× median
T2023Normal range

Community transition, waiver; per service

$289K

1K claims · 0.2%

Your Cost: $283.41/claim|Median: $300.13
0.9× median
T2015Normal range

Habilitation, prevocational, waiver, per diem

$285K

3K claims · 0.2%

Your Cost: $84.34/claim|Median: $88.27
1.0× median
T2025Normal range

Waiver services, NOS; per 15 min

$155K

1K claims · 0.1%

Your Cost: $122.95/claim|Median: $124.39
1.0× median
T5999Top 1%

Transportation service, not otherwise classified

$73K

83 claims · 0.1%

Your Cost: $875.60/claim|Median: $8.13
107.7× median
T1002Top 25%

RN services, per 15 minutes

$51K

312 claims · 0.0%

Your Cost: $164.99/claim|Median: $37.42
4.4× median
T2020Normal range

Day habilitation, waiver; per diem

$19K

276 claims · 0.0%

Your Cost: $69.64/claim|Median: $87.34
0.8× median
90832Top 1%

Psychotherapy, 30 minutes

$7K

28 claims · 0.0%

Your Cost: $240.57/claim|Median: $41.28
5.8× median
H2025Top 10%

Ongoing support to maintain employment, per 15 min

$6K

12 claims · 0.0%

Your Cost: $505.73/claim|Median: $100.49
5.0× median