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Provider 1003921875

NPI: 1003921875Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.7M

$13,693,004

Total Claims

146K

Beneficiaries

43K

3.4 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+2%
2019
$1.6M
-1%
2020
$1.6M
+2%
2021
$1.7M
+29%
2022
$2.1M
+22%
2023
$2.6M
-6%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 47% of total spending.

T2023Top 25%

Community transition, waiver; per service

$6.4M

14K claims · 46.7%

Your Cost: $461.02/claim|Median: $300.13
1.5× median
T1016Normal range

Case management, each 15 min

$5.4M

119K claims · 39.4%

Your Cost: $45.18/claim|Median: $49.62
0.9× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$1.7M

6,981 claims · 12.4%

Your Cost: $243.78/claim|Median: $266.41
0.9× median
T2003Top 25%

Non-emergency transport; encounter/trip

$113K

2,076 claims · 0.8%

Your Cost: $54.42/claim|Median: $21.70
2.5× median
X5621Normal range

$62K

1,458 claims · 0.4%

Your Cost: $42.21/claim|Median: $148.81
0.3× median
A0090Normal range

Non-emergency transport, per mile

$29K

1,982 claims · 0.2%

Your Cost: $14.84/claim|Median: $10.45
1.4× median
S5110Top 5%

Home care training, family; per 15 min

$3K

13 claims · 0.0%

Your Cost: $263.85/claim|Median: $74.36
3.5× median
A0080Normal range

$781

22 claims · 0.0%

Your Cost: $35.52/claim|Median: $26.51
1.3× median
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