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Provider 1033642137

NPI: 1033642137Share
Active Billing Period:2020-11→2024-05(42 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$9.8M

$9,799,514

Total Claims

66K

Beneficiaries

7,554

8.8 claims/patient

Avg Cost/Claim

$148

Monthly Spending Trend

Yearly Spending

2020
$879
+100477%
2021
$884K
+246%
2022
$3.1M
+35%
2023
$4.1M
-58%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 68% of total spending.

H2016Top 10%

Comprehensive community support services, per 15 min

$6.6M

2,094 claims · 67.8%

Your Cost: $3,171.40/claim|Median: $321.53
9.9× median
H2014Normal range

Skills training & development, per 15 min

$768K

22K claims · 7.8%

Your Cost: $35.38/claim|Median: $83.88
0.4× median
M0167Normal range

$657K

4,331 claims · 6.7%

Your Cost: $151.71/claim|Median: $158.84
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$402K

3,302 claims · 4.1%

Your Cost: $121.83/claim|Median: $87.34
1.4× median
T1002Normal range

RN services, per 15 minutes

$324K

12K claims · 3.3%

Your Cost: $26.54/claim|Median: $37.42
0.7× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$302K

3,349 claims · 3.1%

Your Cost: $90.16/claim|Median: $84.12
1.1× median
M0116Normal range

$182K

6,666 claims · 1.9%

Your Cost: $27.36/claim|Median: $32.07
0.9× median
M0133Normal range

$162K

1,763 claims · 1.7%

Your Cost: $91.82/claim|Median: $84.70
1.1× median
M0299Normal range

$138K

5,160 claims · 1.4%

Your Cost: $26.77/claim|Median: $34.98
0.8× median
S8990Normal range

$102K

1,380 claims · 1.0%

Your Cost: $73.70/claim|Median: $78.36
0.9× median
M0118Normal range

$94K

3,056 claims · 1.0%

Your Cost: $30.76/claim|Median: $38.00
0.8× median
M0115Normal range

$18K

600 claims · 0.2%

Your Cost: $29.19/claim|Median: $29.58
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$9K

510 claims · 0.1%

Your Cost: $17.58/claim|Median: $24.24
0.7× median
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