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Provider 1023035870

NPI: 1023035870Share
Active Billing Period:2018-01→2024-11(70 months)

Total Paid

$17.5M

$17,532,049

Total Claims

271K

Beneficiaries

19K

14.6 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+12%
2019
$3.4M
-53%
2020
$1.6M
+93%
2021
$3.1M
+5%
2022
$3.3M
-41%
2023
$1.9M
-39%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (96165 (Health behavior intervention, family, each additional fifteen minutes)) accounts for 43% of total spending.

96165Top 10%

Health behavior intervention, family, each additional fifteen minutes

$7.5M

80K claims · 42.8%

Your Cost: $93.37/claim|Median: $15.54
6.0× median
96153Top 5%

Health/behavior intervention, group

$5.5M

50K claims · 31.3%

Your Cost: $109.29/claim|Median: $6.67
16.4× median
T1020Normal range

Personal care services, per diem

$1.4M

7,811 claims · 8.0%

Your Cost: $179.17/claim|Median: $296.27
0.6× median
A0110Top 10%

Non-emergency taxi transport

$1.3M

32K claims · 7.2%

Your Cost: $39.32/claim|Median: $9.27
4.2× median
96164Normal range

$880K

81K claims · 5.0%

Your Cost: $10.89/claim|Median: $9.87
1.1× median
96159Top 25%

$788K

6,184 claims · 4.5%

Your Cost: $127.35/claim|Median: $20.68
6.2× median
96158Normal range

$115K

6,681 claims · 0.7%

Your Cost: $17.14/claim|Median: $28.43
0.6× median
A0130Normal range

Non-emergency wheelchair van transport

$97K

4,643 claims · 0.6%

Your Cost: $20.87/claim|Median: $29.37
0.7× median
A0120Normal range

Non-emergency mini-bus transport

$6K

1,678 claims · 0.0%

Your Cost: $3.29/claim|Median: $16.09
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$377

658 claims · 0.0%

Your Cost: $0.57/claim|Median: $41.28
0.0× median
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