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Provider 1033313168

NPI: 1033313168Share
Active Billing Period:2020-12→2024-12(48 months)

Total Paid

$15.2M

$15,205,527

Total Claims

132K

Beneficiaries

13K

10.3 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2020
$11K
+26679%
2021
$2.9M
+64%
2022
$4.7M
-16%
2023
$3.9M
-6%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 65% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$10.0M

53K claims · 65.5%

Your Cost: $187.70/claim|Median: $321.53
0.6× median
M0167Normal range

$968K

5,987 claims · 6.4%

Your Cost: $161.67/claim|Median: $158.84
1.0× median
M0123Normal range

$916K

12K claims · 6.0%

Your Cost: $76.00/claim|Median: $76.14
1.0× median
M0152Normal range

$869K

4,961 claims · 5.7%

Your Cost: $175.14/claim|Median: $174.64
1.0× median
H2014Normal range

Skills training & development, per 15 min

$485K

10K claims · 3.2%

Your Cost: $48.29/claim|Median: $83.88
0.6× median
M0122Top 1%

$440K

6,069 claims · 2.9%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$348K

7,604 claims · 2.3%

Your Cost: $45.80/claim|Median: $87.34
0.5× median
M0116Normal range

$283K

9,145 claims · 1.9%

Your Cost: $30.96/claim|Median: $32.07
1.0× median
M0118Normal range

$212K

5,913 claims · 1.4%

Your Cost: $35.92/claim|Median: $38.00
0.9× median
M0150Normal range

$165K

1,057 claims · 1.1%

Your Cost: $156.47/claim|Median: $161.06
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$97K

985 claims · 0.6%

Your Cost: $98.00/claim|Median: $84.12
1.2× median
T1003Normal range

LPN/LVN services, per 15 minutes

$91K

4,568 claims · 0.6%

Your Cost: $19.88/claim|Median: $24.24
0.8× median
M0299Normal range

$88K

2,636 claims · 0.6%

Your Cost: $33.53/claim|Median: $34.98
1.0× median
T1002Normal range

RN services, per 15 minutes

$78K

2,919 claims · 0.5%

Your Cost: $26.65/claim|Median: $37.42
0.7× median
M0113Top 10%

$63K

95 claims · 0.4%

Your Cost: $658.60/claim|Median: $397.30
1.7× median
M0133Normal range

$50K

580 claims · 0.3%

Your Cost: $86.49/claim|Median: $84.70
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$48K

74 claims · 0.3%

Your Cost: $648.98/claim|Median: $24.34
26.7× median
M0298Normal range

$35K

2,186 claims · 0.2%

Your Cost: $15.94/claim|Median: $13.85
1.2× median
M0315Top 10%

$5K

96 claims · 0.0%

Your Cost: $49.07/claim|Median: $29.80
1.6× median
A9153Normal range

$3K

507 claims · 0.0%

Your Cost: $5.72/claim|Median: $45.63
0.1× median
M0101Normal range

$2K

319 claims · 0.0%

Your Cost: $5.82/claim|Median: $65.66
0.1× median
M0248Normal range

$510

838 claims · 0.0%

Your Cost: $0.61/claim|Median: $5.31
0.1× median
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