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

Provider 1013230499

NPI: 1013230499Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.4M

$12,353,057

Total Claims

195K

Beneficiaries

63K

3.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-9%
2019
$2.1M
-3%
2020
$2.1M
-5%
2021
$2.0M
-19%
2022
$1.6M
-15%
2023
$1.4M
-31%
2024
$938K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (S9124 (Nursing care, in the home; per hour)) accounts for 35% of total spending.

S9124Normal range

Nursing care, in the home; per hour

$4.4M

65K claims · 35.5%

Your Cost: $67.06/claim|Median: $400.25
0.2× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$4.2M

61K claims · 34.1%

Your Cost: $69.40/claim|Median: $124.86
0.6× median
G0162Top 25%

Skilled services by RN in home health, per 15 min

$2.0M

21K claims · 16.6%

Your Cost: $95.63/claim|Median: $59.83
1.6× median
T1004Normal range

Services of a qualified nursing aide, per 15 minutes

$1.4M

43K claims · 11.4%

Your Cost: $32.59/claim|Median: $50.30
0.6× median
T1001Normal range

Nursing assessment/evaluation, per visit

$296K

4,429 claims · 2.4%

Your Cost: $66.89/claim|Median: $49.05
1.4× median
T1502Top 25%

Administration of oral, intramuscular, or subcutaneous medication

$9K

279 claims · 0.1%

Your Cost: $33.15/claim|Median: $7.86
4.2× median