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Provider 1043566334

NPI: 1043566334Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.2M

$18,235,450

Total Claims

20K

Beneficiaries

8,326

2.4 claims/patient

Avg Cost/Claim

$897

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+12%
2019
$2.0M
+54%
2020
$3.1M
+38%
2021
$4.2M
-56%
2022
$1.9M
+41%
2023
$2.6M
+4%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 36% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$6.6M

6,207 claims · 36.1%

Your Cost: $1,061.49/claim|Median: $336.31
3.2× median
H0040Top 25%

Assertive community treatment, face-to-face, per 15 minutes

$6.2M

4,656 claims · 34.0%

Your Cost: $1,333.19/claim|Median: $266.41
5.0× median
99341Top 5%

$2.9M

5,239 claims · 16.0%

Your Cost: $558.17/claim|Median: $20.60
27.1× median
T1027Top 1%

Family training and counseling, per 15 minutes

$2.0M

3,281 claims · 11.0%

Your Cost: $610.02/claim|Median: $53.00
11.5× median
T1025Top 25%

Waiver services, NOS, per 15 minutes

$514K

943 claims · 2.8%

Your Cost: $544.77/claim|Median: $227.80
2.4× median