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Provider 1003819103

NPI: 1003819103Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$10.9M

$10,879,470

Total Claims

68K

Beneficiaries

50K

1.4 claims/patient

Avg Cost/Claim

$159

Monthly Spending Trend

Yearly Spending

2018
$69K
-2%
2019
$68K
+497%
2020
$407K
+277%
2021
$1.5M
+15%
2022
$1.8M
+62%
2023
$2.9M
+45%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (A0429 (Ambulance, BLS emergency transport)) accounts for 37% of total spending.

A0429Top 25%

Ambulance, BLS emergency transport

$4.1M

17K claims · 37.5%

Your Cost: $238.07/claim|Median: $138.19
1.7× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$2.4M

8,007 claims · 22.5%

Your Cost: $305.15/claim|Median: $164.22
1.9× median
T1016Top 25%

Case management, each 15 min

$2.3M

12K claims · 21.1%

Your Cost: $196.05/claim|Median: $49.62
4.0× median
T1028Normal range

Assessment of home, physical & family environments

$973K

12K claims · 8.9%

Your Cost: $81.54/claim|Median: $81.30
1.0× median
A0428Top 25%

Ambulance service, BLS, non-emergency transport

$692K

4,541 claims · 6.4%

Your Cost: $152.32/claim|Median: $58.05
2.6× median
A0425Normal range

Ground mileage, per statute mile

$359K

15K claims · 3.3%

Your Cost: $24.32/claim|Median: $23.36
1.0× median
A0432Top 10%

$29K

135 claims · 0.3%

Your Cost: $212.85/claim|Median: $97.68
2.2× median
A0998Normal range

$14K

137 claims · 0.1%

Your Cost: $101.94/claim|Median: $63.75
1.6× median
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