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Provider 1043366099

NPI: 1043366099Share
Active Billing Period:2018-012024-11(68 months)

Total Paid

$13.1M

$13,055,804

Total Claims

243K

Beneficiaries

16K

15.2 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+16%
2019
$1.4M
-35%
2020
$934K
+98%
2021
$1.9M
+25%
2022
$2.3M
+24%
2023
$2.9M
-16%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (96159) accounts for 56% of total spending.

96159Top 25%

$7.4M

62K claims · 56.5%

Your Cost: $118.08/claim|Median: $20.68
5.7× median
96152Top 25%

Health behavior intervention, individual

$2.4M

21K claims · 18.3%

Your Cost: $114.59/claim|Median: $20.02
5.7× median
96158Normal range

$1.0M

63K claims · 7.7%

Your Cost: $15.98/claim|Median: $28.43
0.6× median
T2001Normal range

Non-emergency transportation, patient attendant or aide

$592K

42K claims · 4.5%

Your Cost: $14.20/claim|Median: $19.61
0.7× median
A0130Normal range

Non-emergency wheelchair van transport

$516K

16K claims · 4.0%

Your Cost: $31.97/claim|Median: $29.37
1.1× median
T1020Normal range

Personal care services, per diem

$457K

2,149 claims · 3.5%

Your Cost: $212.52/claim|Median: $296.27
0.7× median
A0110Top 10%

Non-emergency taxi transport

$304K

9,494 claims · 2.3%

Your Cost: $32.00/claim|Median: $9.27
3.5× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$192K

4,798 claims · 1.5%

Your Cost: $39.99/claim|Median: $15.54
2.6× median
T1019Normal range

Personal care services, per 15 min

$137K

1,816 claims · 1.0%

Your Cost: $75.40/claim|Median: $82.47
0.9× median
96164Normal range

$52K

5,419 claims · 0.4%

Your Cost: $9.57/claim|Median: $9.87
1.0× median
A0120Normal range

Non-emergency mini-bus transport

$39K

15K claims · 0.3%

Your Cost: $2.64/claim|Median: $16.09
0.2× median