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Community Options, Inc.

Day Training, Developmentally Disabled Services·Princeton, NJ·NPI: 1194028969Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $337.9M is at the 90th percentile among 56 Day Training, Developmentally Disabled Services providers.

Above 90th percentile for this specialty — higher spending than 50 of 56 peers

Active Billing Period:2018-022024-12(83 months)

Total Paid

$337.9M

$337,944,535

Total Claims

847K

Beneficiaries

34K

25.3 claims/patient

Avg Cost/Claim

$399

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

🔍 Analysis

Provider Overview

Community Options, Inc. is a Day Training, Developmentally Disabled Services provider based in Princeton, NJ. From the 2018–2024 period, this provider received $337.9M in Medicaid payments across 847K claims.

Why This Matters

This provider received $337.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 42,243 Medicaid beneficiaries for a full year at average per-enrollee costs.

247% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.9M
+96%
2019
$38.8M
+9%
2020
$42.5M
+16%
2021
$49.2M
+10%
2022
$54.3M
+18%
2023
$64.4M
+7%
2024
$68.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 99% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$335.6M

816K claims · 99.3%

Your Cost: $411.36/claim|Median: $321.53
1.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.2M

24K claims · 0.7%

Your Cost: $92.68/claim|Median: $74.63
1.2× median
A0090Normal range

Non-emergency transport, per mile

$107K

7K claims · 0.0%

Your Cost: $15.52/claim|Median: $10.45
1.5× median