Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Ability360, Inc,

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Phoenix, AZ·NPI: 1174661078Share

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $274.7M is at the 90th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Above 90th percentile for this specialty — higher spending than 45 of 50 peers

Active Billing Period:2018-012024-11(83 months)
Sharp billing drop in final month

Total Paid

$274.7M

$274,715,744

Total Claims

1.8M

Beneficiaries

143K

12.5 claims/patient

Avg Cost/Claim

$153

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

🔍 Analysis

Provider Overview

Ability360, Inc, is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider based in Phoenix, AZ. From the 2018–2024 period, this provider received $274.7M in Medicaid payments across 1.8M claims.

Why This Matters

This provider received $274.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 34,339 Medicaid beneficiaries for a full year at average per-enrollee costs.

13% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$41.6M
+0%
2019
$41.7M
-2%
2020
$40.8M
-8%
2021
$37.5M
-1%
2022
$37.1M
+8%
2023
$39.9M
-9%
2024
$36.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 94% of total spending.

S5125Top 25%

Attendant care services, per 15 min

$258.4M

1.6M claims · 94.1%

Your Cost: $158.41/claim|Median: $82.34
1.9× median
S5150Normal range

Unskilled respite care, per 15 min

$11.7M

127K claims · 4.3%

Your Cost: $92.16/claim|Median: $84.46
1.1× median
S5165Top 5%

Home modifications, per service

$1.8M

212 claims · 0.7%

Your Cost: $8,657.59/claim|Median: $2,196.32
3.9× median
S5130Normal range

Homemaker service, NOS; per 15 min

$1.8M

23K claims · 0.6%

Your Cost: $77.11/claim|Median: $48.76
1.6× median
S5135Normal range

Companion care, adult, per diem

$755K

13K claims · 0.3%

Your Cost: $59.26/claim|Median: $52.25
1.1× median
T1019Normal range

Personal care services, per 15 min

$232K

3K claims · 0.1%

Your Cost: $70.70/claim|Median: $82.47
0.9× median

Similar Providers

Other top providers in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities