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Provider 1003974999

NPI: 1003974999Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$8.1M

$8,137,881

Total Claims

44K

Beneficiaries

4,395

10.1 claims/patient

Avg Cost/Claim

$184

Monthly Spending Trend

Yearly Spending

2021
$809K
+149%
2022
$2.0M
+25%
2023
$2.5M
+11%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 40% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$3.2M

3,364 claims · 39.7%

Your Cost: $961.49/claim|Median: $321.53
3.0× median
T2016Normal range

Habilitation, residential, waiver; per diem

$2.5M

20K claims · 31.1%

Your Cost: $125.53/claim|Median: $331.94
0.4× median
S5150Normal range

Unskilled respite care, per 15 min

$1.0M

7,517 claims · 12.4%

Your Cost: $134.61/claim|Median: $84.46
1.6× median
M0360Top 25%

$660K

5,392 claims · 8.1%

Your Cost: $122.46/claim|Median: $102.43
1.2× median
M0240Normal range

$327K

2,292 claims · 4.0%

Your Cost: $142.59/claim|Median: $141.71
1.0× median
M0123Top 1%

$236K

3,104 claims · 2.9%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
H2014Normal range

Skills training & development, per 15 min

$128K

2,367 claims · 1.6%

Your Cost: $54.23/claim|Median: $83.88
0.6× median
T2020Normal range

Day habilitation, waiver; per diem

$8K

73 claims · 0.1%

Your Cost: $105.63/claim|Median: $87.34
1.2× median
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