Provider 1013285337
NPI: 1013285337Share
Active Billing Period:2018-01→2024-11(76 months)
Total Paid
$13.9M
$13,886,188
Total Claims
4,000
Beneficiaries
2,327
1.7 claims/patient
Avg Cost/Claim
$3K
Monthly Spending Trend
Yearly Spending
2018
$1.5M
+42%
2019
$2.2M
-15%
2020
$1.8M
-57%
2021
$788K
+19%
2022
$940K
+211%
2023
$2.9M
+27%
2024
$3.7M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 60% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$8.4M
1,818 claims
$4,595.78
$331.94
13.8×
Top 10%
T2016Top 10%
Habilitation, residential, waiver; per diem
$8.4M
1,818 claims · 60.2%
Your Cost: $4,595.78/claim|Median: $331.94
13.8× median$5.4M
827 claims
$6,552.26
$5,225.66
1.3×
Top 10%
W0725Top 10%
Waiver service, state-specific code
$5.4M
827 claims · 39.0%
Your Cost: $6,552.26/claim|Median: $5,225.66
1.3× median90837Normal range
Psychotherapy, 60 minutes
$105K
1,155 claims · 0.8%
Your Cost: $90.70/claim|Median: $85.66
1.1× median90834Normal range
Psychotherapy, 45 minutes
$7K
96 claims · 0.0%
Your Cost: $70.05/claim|Median: $63.65
1.1× median90785Normal range
$872
104 claims · 0.0%
Your Cost: $8.38/claim|Median: $6.43
1.3× median