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Provider 1013056894

NPI: 1013056894Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$18.4M

$18,401,288

Total Claims

338K

Beneficiaries

83K

4.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$7.7M
+3%
2019
$7.9M
-86%
2020
$1.1M
-60%
2021
$434K
-10%
2022
$392K
+9%
2023
$429K
+4%
2024
$446K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 77% of total spending.

T1017Normal range

Targeted case management, per 15 min

$14.1M

301K claims · 76.7%

Your Cost: $46.89/claim|Median: $69.56
0.7× median
V2799Top 1%

$1.7M

3,486 claims · 9.1%

Your Cost: $481.09/claim|Median: $8.94
53.8× median
T2028Normal range

Specialized supply, NOS; per unit

$992K

15K claims · 5.4%

Your Cost: $64.58/claim|Median: $79.30
0.8× median
S5150Top 5%

Unskilled respite care, per 15 min

$457K

956 claims · 2.5%

Your Cost: $478.49/claim|Median: $84.46
5.7× median
T2004Normal range

Non-emergency transportation, commercial carrier, encounter trip

$188K

4,513 claims · 1.0%

Your Cost: $41.67/claim|Median: $8.80
4.7× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$159K

262 claims · 0.9%

Your Cost: $605.89/claim|Median: $150.51
4.0× median
S5130Top 25%

Homemaker service, NOS; per 15 min

$151K

842 claims · 0.8%

Your Cost: $179.08/claim|Median: $48.76
3.7× median
T1016Normal range

Case management, each 15 min

$135K

9,505 claims · 0.7%

Your Cost: $14.18/claim|Median: $49.62
0.3× median
T2003Top 10%

Non-emergency transport; encounter/trip

$126K

944 claims · 0.7%

Your Cost: $133.40/claim|Median: $21.70
6.1× median
H2021Normal range

Community-based wrap-around services, per 15 min

$111K

393 claims · 0.6%

Your Cost: $282.22/claim|Median: $169.11
1.7× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$92K

428 claims · 0.5%

Your Cost: $215.46/claim|Median: $84.12
2.6× median
97124Top 1%

$54K

122 claims · 0.3%

Your Cost: $441.13/claim|Median: $17.78
24.8× median
S5151Top 25%

Unskilled respite care, per diem

$54K

127 claims · 0.3%

Your Cost: $421.31/claim|Median: $249.18
1.7× median
T1019Top 25%

Personal care services, per 15 min

$45K

192 claims · 0.2%

Your Cost: $233.93/claim|Median: $82.47
2.8× median
G0176Top 10%

Activity therapy (group), per session

$30K

119 claims · 0.2%

Your Cost: $253.12/claim|Median: $85.09
3.0× median
T2036Normal range

Therapeutic camping, waiver, per diem

$9K

17 claims · 0.0%

Your Cost: $523.53/claim|Median: $413.93
1.3× median
T2035Normal range

$4K

14 claims · 0.0%

Your Cost: $290.42/claim|Median: $295.07
1.0× median
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