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Provider 1033390406

NPI: 1033390406Share
Active Billing Period:2018-122024-12(73 months)

Total Paid

$17.8M

$17,798,659

Total Claims

615K

Beneficiaries

32K

19.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$106K
+1579%
2019
$1.8M
+22%
2020
$2.2M
-11%
2021
$1.9M
+21%
2022
$2.3M
+84%
2023
$4.3M
+21%
2024
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 45% of total spending.

T1019Normal range

Personal care services, per 15 min

$8.0M

223K claims · 44.9%

Your Cost: $35.82/claim|Median: $82.47
0.4× median
S5130Normal range

Homemaker service, NOS; per 15 min

$3.6M

189K claims · 20.4%

Your Cost: $19.29/claim|Median: $48.76
0.4× median
S5135Normal range

Companion care, adult, per diem

$1.2M

57K claims · 6.8%

Your Cost: $21.09/claim|Median: $52.25
0.4× median
S9122Normal range

Home health aide or certified nurse, per hour

$1.0M

23K claims · 5.7%

Your Cost: $43.89/claim|Median: $116.67
0.4× median
T1021Normal range

Home health aide visit, per 15 min

$946K

48K claims · 5.3%

Your Cost: $19.86/claim|Median: $44.79
0.4× median
T1030Normal range

Nursing care, in the home, by RN, per diem

$930K

18K claims · 5.2%

Your Cost: $52.85/claim|Median: $85.62
0.6× median
T1004Normal range

Services of a qualified nursing aide, per 15 minutes

$897K

27K claims · 5.0%

Your Cost: $33.21/claim|Median: $50.30
0.7× median
T1031Normal range

Nursing care, in the home, by LPN, per diem

$757K

23K claims · 4.3%

Your Cost: $32.81/claim|Median: $80.56
0.4× median
S5150Normal range

Unskilled respite care, per 15 min

$338K

6,447 claims · 1.9%

Your Cost: $52.49/claim|Median: $84.46
0.6× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$57K

532 claims · 0.3%

Your Cost: $107.98/claim|Median: $49.05
2.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$10K

225 claims · 0.1%

Your Cost: $43.90/claim|Median: $24.49
1.8× median
97161Normal range

Physical therapy evaluation, low complexity

$7K

152 claims · 0.0%

Your Cost: $48.76/claim|Median: $47.89
1.0× median