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Provider 1053523357

NPI: 1053523357Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.0M

$12,011,742

Total Claims

494K

Beneficiaries

177K

2.8 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+43%
2019
$2.0M
-21%
2020
$1.6M
-2%
2021
$1.6M
+16%
2022
$1.8M
+5%
2023
$1.9M
-18%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (S0215 (Non-invasive prenatal screening, fetal chromosomal abnormalities)) accounts for 44% of total spending.

S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$5.2M

144K claims · 43.5%

Your Cost: $36.20/claim|Median: $21.33
1.7× median
S0209Normal range

Outpatient psychiatric services, partial hospitalization, per hour

$3.3M

101K claims · 27.8%

Your Cost: $32.98/claim|Median: $18.24
1.8× median
A0130Normal range

Non-emergency wheelchair van transport

$1.7M

102K claims · 13.8%

Your Cost: $16.27/claim|Median: $29.37
0.6× median
A0120Normal range

Non-emergency mini-bus transport

$1.6M

144K claims · 13.5%

Your Cost: $11.28/claim|Median: $16.09
0.7× median
T2005Normal range

Non-emergency transportation, per diem

$124K

1,153 claims · 1.0%

Your Cost: $107.72/claim|Median: $132.60
0.8× median
T2049Top 25%

$38K

1,150 claims · 0.3%

Your Cost: $33.10/claim|Median: $10.10
3.3× median
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