Provider 1003978297
NPI: 1003978297Share
Active Billing Period:2018-01→2024-12(82 months)
Extreme procedure concentration — 91% of $18.2M billed through just 2 codes
Total Paid
$18.2M
$18,218,598
Total Claims
210K
Beneficiaries
19K
11.3 claims/patient
Avg Cost/Claim
$87
Monthly Spending Trend
Yearly Spending
2018
$2.1M
+10%
2019
$2.3M
-34%
2020
$1.5M
+67%
2021
$2.6M
+18%
2022
$3.0M
+17%
2023
$3.5M
-10%
2024
$3.2M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 2 distinct procedure codes. The top code (T2020 (Day habilitation, waiver; per diem)) accounts for 91% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$16.6M
185K claims
$89.46
$87.34
1.0×
Normal range
T2020Normal range
Day habilitation, waiver; per diem
$16.6M
185K claims · 90.9%
Your Cost: $89.46/claim|Median: $87.34
1.0× median$1.7M
25K claims
$66.22
$150.51
0.4×
Normal range
T2021Normal range
Day habilitation, waiver; per 15 min
$1.7M
25K claims · 9.1%
Your Cost: $66.22/claim|Median: $150.51
0.4× median