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Provider 1043363393

NPI: 1043363393Share
Active Billing Period:2019-07→2024-11(63 months)

Total Paid

$15.3M

$15,295,652

Total Claims

14K

Beneficiaries

12K

1.1 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2019
$1.5M
+87%
2020
$2.9M
-9%
2021
$2.6M
+2%
2022
$2.7M
+9%
2023
$2.9M
-7%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2017 (Habilitation, residential, waiver; 15 min)) accounts for 54% of total spending.

T2017Top 5%

Habilitation, residential, waiver; 15 min

$8.2M

1,603 claims · 53.7%

Your Cost: $5,121.81/claim|Median: $137.32
37.3× median
T2021Top 10%

Day habilitation, waiver; per 15 min

$3.5M

3,339 claims · 22.9%

Your Cost: $1,049.73/claim|Median: $150.51
7.0× median
T2032Normal range

$2.3M

2,516 claims · 15.1%

Your Cost: $917.39/claim|Median: $884.68
1.0× median
H2025Top 25%

Ongoing support to maintain employment, per 15 min

$927K

2,100 claims · 6.1%

Your Cost: $441.62/claim|Median: $100.49
4.4× median
T2002Top 10%

Non-emergency transport; per trip

$232K

1,859 claims · 1.5%

Your Cost: $124.75/claim|Median: $19.35
6.4× median
T2003Normal range

Non-emergency transport; encounter/trip

$64K

2,182 claims · 0.4%

Your Cost: $29.33/claim|Median: $21.70
1.4× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$44K

390 claims · 0.3%

Your Cost: $111.81/claim|Median: $88.91
1.3× median
T2028Normal range

Specialized supply, NOS; per unit

$4K

144 claims · 0.0%

Your Cost: $24.65/claim|Median: $79.30
0.3× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$2K

25 claims · 0.0%

Your Cost: $68.76/claim|Median: $28.63
2.4× median
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