Provider 1003864869
NPI: 1003864869Share
Active Billing Period:2018-01→2024-08(80 months)
Extreme procedure concentration — 96% of $12.0M billed through just 2 codes
Total Paid
$12.0M
$11,994,218
Total Claims
7,200
Beneficiaries
3,228
2.2 claims/patient
Avg Cost/Claim
$2K
Monthly Spending Trend
Yearly Spending
2018
$2.1M
-19%
2019
$1.7M
+17%
2020
$2.0M
-6%
2021
$1.8M
-8%
2022
$1.7M
+2%
2023
$1.7M
-40%
2024
$1.0M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 2 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 96% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$11.5M
5,258 claims
$2,191.95
$1,795.74
1.2×
Normal range
T2046Normal range
Habilitation, residential, waiver; per month
$11.5M
5,258 claims · 96.1%
Your Cost: $2,191.95/claim|Median: $1,795.74
1.2× median$469K
1,942 claims
$241.47
$438.57
0.6×
Normal range
S9126Normal range
Hospice care, in the home, per diem
$469K
1,942 claims · 3.9%
Your Cost: $241.47/claim|Median: $438.57
0.6× median