Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1003936774

NPI: 1003936774Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.8M

$15,805,389

Total Claims

253K

Beneficiaries

243K

1.0 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+22%
2019
$1.9M
+9%
2020
$2.0M
+21%
2021
$2.4M
+12%
2022
$2.7M
-1%
2023
$2.7M
-6%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 77% of total spending.

T2022Normal range

Case management, per month

$12.1M

225K claims · 76.8%

Your Cost: $54.00/claim|Median: $202.77
0.3× median
99456Normal range

$2.5M

16K claims · 16.1%

Your Cost: $161.54/claim|Median: $151.24
1.1× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$708K

6,226 claims · 4.5%

Your Cost: $113.78/claim|Median: $106.70
1.1× median
G9001Normal range

$388K

5,395 claims · 2.5%

Your Cost: $71.99/claim|Median: $53.98
1.3× median
96160Top 5%

Patient-focused health risk assessment

$35K

866 claims · 0.2%

Your Cost: $40.10/claim|Median: $2.10
19.1× median
G0175Normal range

$650

13 claims · 0.0%

Your Cost: $50.00/claim|Median: $51.98
1.0× median