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Provider 1003223124

NPI: 1003223124Share
Active Billing Period:2019-072024-11(63 months)

Total Paid

$8.3M

$8,284,232

Total Claims

21K

Beneficiaries

11K

2.0 claims/patient

Avg Cost/Claim

$391

Monthly Spending Trend

Yearly Spending

2019
$250K
+114%
2020
$536K
-42%
2021
$313K
+348%
2022
$1.4M
+105%
2023
$2.9M
+2%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H0043 (Supported housing, per diem)) accounts for 53% of total spending.

H0043Top 25%

Supported housing, per diem

$4.4M

8,405 claims · 53.0%

Your Cost: $522.14/claim|Median: $164.87
3.2× median
G9008Top 25%

Coordination of long-term care services, per month

$1.2M

5,581 claims · 14.2%

Your Cost: $211.19/claim|Median: $66.78
3.2× median
G9012Top 10%

Other specified case management service, per 15 minutes

$1.1M

3,674 claims · 13.1%

Your Cost: $295.94/claim|Median: $137.85
2.1× median
T2041Top 5%

Supports brokerage, self-directed; per 15 min

$754K

1,430 claims · 9.1%

Your Cost: $527.49/claim|Median: $162.29
3.3× median
T2051Normal range

$548K

1,475 claims · 6.6%

Your Cost: $371.72/claim|Median: $475.00
0.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$182K

326 claims · 2.2%

Your Cost: $558.44/claim|Median: $321.53
1.7× median
H0044Top 5%

Supported housing, per diem

$72K

46 claims · 0.9%

Your Cost: $1,555.82/claim|Median: $797.87
1.9× median
T2033Normal range

Residential care, NOS; per diem

$53K

161 claims · 0.6%

Your Cost: $329.83/claim|Median: $1,051.57
0.3× median
T2050Normal range

$20K

48 claims · 0.2%

Your Cost: $425.52/claim|Median: $475.00
0.9× median
G9007Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44