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Provider 1013927821

NPI: 1013927821Share
Active Billing Period:2018-102024-11(67 months)

Total Paid

$13.2M

$13,201,928

Total Claims

175K

Beneficiaries

50K

3.5 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$188K
+1713%
2019
$3.4M
+19%
2020
$4.0M
-35%
2021
$2.6M
-71%
2022
$774K
+38%
2023
$1.1M
+1%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 41% of total spending.

T1016Normal range

Case management, each 15 min

$5.4M

111K claims · 40.7%

Your Cost: $48.21/claim|Median: $49.62
1.0× median
H2014Top 25%

Skills training & development, per 15 min

$2.5M

12K claims · 19.1%

Your Cost: $209.68/claim|Median: $83.88
2.5× median
S5110Top 25%

Home care training, family; per 15 min

$2.3M

22K claims · 17.6%

Your Cost: $107.08/claim|Median: $74.36
1.4× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$2.2M

20K claims · 16.3%

Your Cost: $107.58/claim|Median: $74.63
1.4× median
S5150Top 25%

Unskilled respite care, per 15 min

$399K

1,754 claims · 3.0%

Your Cost: $227.21/claim|Median: $84.46
2.7× median
H0031Normal range

Mental health assessment by non-physician

$354K

2,773 claims · 2.7%

Your Cost: $127.80/claim|Median: $96.18
1.3× median
H0002Normal range

Behavioral health screening

$64K

2,566 claims · 0.5%

Your Cost: $24.87/claim|Median: $38.77
0.6× median
A0160Normal range

$8K

1,757 claims · 0.1%

Your Cost: $4.53/claim|Median: $12.60
0.4× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$2K

18 claims · 0.0%

Your Cost: $109.41/claim|Median: $53.41
2.0× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$1K

1,388 claims · 0.0%

Your Cost: $0.86/claim|Median: $17.67
0.0× median