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Provider 1013327048

NPI: 1013327048Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.9M

$16,881,281

Total Claims

36K

Beneficiaries

20K

1.8 claims/patient

Avg Cost/Claim

$467

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+29%
2019
$2.6M
+7%
2020
$2.8M
-13%
2021
$2.4M
+10%
2022
$2.7M
-17%
2023
$2.2M
-7%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 70% of total spending.

S5125Top 5%

Attendant care services, per 15 min

$11.9M

17K claims · 70.3%

Your Cost: $689.28/claim|Median: $82.34
8.4× median
T1005Top 5%

Respite care services, per 15 minutes

$1.6M

3,713 claims · 9.5%

Your Cost: $431.96/claim|Median: $71.40
6.0× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$1.2M

3,660 claims · 6.8%

Your Cost: $315.55/claim|Median: $150.51
2.1× median
G9002Top 25%

Coordinated care fee, maintenance period

$967K

4,770 claims · 5.7%

Your Cost: $202.79/claim|Median: $108.80
1.9× median
T1016Top 10%

Case management, each 15 min

$661K

3,323 claims · 3.9%

Your Cost: $198.96/claim|Median: $49.62
4.0× median
A0160Top 5%

$581K

2,574 claims · 3.4%

Your Cost: $225.60/claim|Median: $12.60
17.9× median
T2024Normal range

Supported employment, waiver, per diem

$31K

576 claims · 0.2%

Your Cost: $54.02/claim|Median: $259.38
0.2× median
A0120Normal range

Non-emergency mini-bus transport

$10K

311 claims · 0.1%

Your Cost: $32.68/claim|Median: $16.09
2.0× median
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