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Rise INC

Voluntary or Charitable·Boise, ID·NPI: 1720049190Share

Compared to Voluntary or Charitable Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $263.8M is at the 50th percentile among 13 Voluntary or Charitable providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$263.8M

$263,808,588

Total Claims

2.1M

Beneficiaries

146K

14.4 claims/patient

Avg Cost/Claim

$126

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

🔍 Analysis

Provider Overview

Rise INC is a Voluntary or Charitable provider based in Boise, ID. From the 2018–2024 period, this provider received $263.8M in Medicaid payments across 2.1M claims.

Why This Matters

This provider received $263.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 32,976 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 134% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$22.8M
+16%
2019
$26.3M
+13%
2020
$29.8M
+26%
2021
$37.6M
+15%
2022
$43.2M
+18%
2023
$50.8M
+5%
2024
$53.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 40% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$105.5M

275K claims · 40.0%

Your Cost: $384.45/claim|Median: $331.94
1.2× median
S5125Top 25%

Attendant care services, per 15 min

$69.5M

468K claims · 26.3%

Your Cost: $148.63/claim|Median: $82.34
1.8× median
T2021Normal range

Day habilitation, waiver; per 15 min

$26.1M

286K claims · 9.9%

Your Cost: $91.27/claim|Median: $150.51
0.6× median
S5150Normal range

Unskilled respite care, per 15 min

$16.9M

203K claims · 6.4%

Your Cost: $83.41/claim|Median: $84.46
1.0× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$14.8M

193K claims · 5.6%

Your Cost: $76.52/claim|Median: $137.32
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$12.7M

176K claims · 4.8%

Your Cost: $72.58/claim|Median: $74.63
1.0× median
H2032Normal range

Activity therapy, per 15 minutes

$4.0M

80K claims · 1.5%

Your Cost: $49.97/claim|Median: $108.23
0.5× median
A0120Normal range

Non-emergency mini-bus transport

$3.8M

157K claims · 1.4%

Your Cost: $24.12/claim|Median: $16.09
1.5× median
97537Normal range

$3.7M

131K claims · 1.4%

Your Cost: $28.28/claim|Median: $24.64
1.1× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$3.2M

47K claims · 1.2%

Your Cost: $67.07/claim|Median: $88.91
0.8× median
S5100Normal range

Day care services, adult, per half day

$1.6M

50K claims · 0.6%

Your Cost: $32.84/claim|Median: $67.58
0.5× median
S5151Top 25%

Unskilled respite care, per diem

$557K

2K claims · 0.2%

Your Cost: $364.07/claim|Median: $249.18
1.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$542K

8K claims · 0.2%

Your Cost: $71.29/claim|Median: $96.24
0.7× median
H0032Normal range

Mental health service plan development

$283K

3K claims · 0.1%

Your Cost: $84.73/claim|Median: $80.64
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$157K

2K claims · 0.1%

Your Cost: $79.00/claim|Median: $63.65
1.2× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$112K

8K claims · 0.0%

Your Cost: $13.93/claim|Median: $84.12
0.2× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$80K

1K claims · 0.0%

Your Cost: $56.71/claim|Median: $53.41
1.1× median
G9002Normal range

Coordinated care fee, maintenance period

$70K

3K claims · 0.0%

Your Cost: $24.63/claim|Median: $108.80
0.2× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$67K

772 claims · 0.0%

Your Cost: $86.79/claim|Median: $91.63
0.9× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$57K

4K claims · 0.0%

Your Cost: $14.34/claim|Median: $114.71
0.1× median
G9007Top 25%

$15K

169 claims · 0.0%

Your Cost: $91.14/claim|Median: $43.44
2.1× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$15K

165 claims · 0.0%

Your Cost: $90.63/claim|Median: $167.38
0.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$6K

69 claims · 0.0%

Your Cost: $90.80/claim|Median: $77.33
1.2× median
Q3014Normal range

Telehealth originating site facility fee

$5K

297 claims · 0.0%

Your Cost: $16.36/claim|Median: $15.37
1.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$4K

32 claims · 0.0%

Your Cost: $135.37/claim|Median: $99.21
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$4K

88 claims · 0.0%

Your Cost: $48.46/claim|Median: $41.28
1.2× median
97151Normal range

Behavior identification assessment

$2K

30 claims · 0.0%

Your Cost: $78.12/claim|Median: $161.10
0.5× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1K

21 claims · 0.0%

Your Cost: $58.00/claim|Median: $146.45
0.4× median
T1014Normal range

$11

468 claims · 0.0%

Your Cost: $0.02/claim|Median: $12.88
0.0× median
97530Normal range

Therapeutic activities, each 15 min

$0

55 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.11

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