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

Provider 1003966748

NPI: 1003966748Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.0M

$12,008,968

Total Claims

81K

Beneficiaries

14K

6.0 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+4%
2019
$1.1M
-2%
2020
$1.1M
+18%
2021
$1.3M
+38%
2022
$1.8M
+40%
2023
$2.5M
+21%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T1025 (Waiver services, NOS, per 15 minutes)) accounts for 48% of total spending.

T1025Normal range

Waiver services, NOS, per 15 minutes

$5.8M

22K claims · 48.3%

Your Cost: $258.40/claim|Median: $227.80
1.1× median
T1026Normal range

Waiver services, NOS, per diem

$4.2M

30K claims · 34.6%

Your Cost: $139.77/claim|Median: $146.05
1.0× median
S9128Normal range

Speech therapy, in the home, per diem

$1.0M

14K claims · 8.3%

Your Cost: $70.82/claim|Median: $72.77
1.0× median
S9129Normal range

OT, in the home, per diem

$815K

11K claims · 6.8%

Your Cost: $72.18/claim|Median: $76.61
0.9× median
S9131Normal range

Physical therapy, in the home, per diem

$231K

3,185 claims · 1.9%

Your Cost: $72.67/claim|Median: $90.35
0.8× median
92507Normal range

Speech/hearing/language treatment

$3K

42 claims · 0.0%

Your Cost: $64.79/claim|Median: $49.45
1.3× median
T2021Normal range

Day habilitation, waiver; per 15 min

$0

432 claims · 0.0%

Your Cost: $0.00/claim|Median: $150.51
S5100Normal range

Day care services, adult, per half day

$0

210 claims · 0.0%

Your Cost: $0.00/claim|Median: $67.58