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Provider 1053598979

NPI: 1053598979Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$10.9M

$10,908,407

Total Claims

44K

Beneficiaries

20K

2.2 claims/patient

Avg Cost/Claim

$249

Monthly Spending Trend

Yearly Spending

2018
$721K
+80%
2019
$1.3M
+165%
2020
$3.4M
+2%
2021
$3.5M
-77%
2022
$807K
-41%
2023
$479K
+35%
2024
$647K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (G9008 (Coordination of long-term care services, per month)) accounts for 56% of total spending.

G9008Top 10%

Coordination of long-term care services, per month

$6.1M

25K claims · 55.9%

Your Cost: $242.73/claim|Median: $66.78
3.6× median
H2010Top 25%

Comprehensive medication services, per 15 min

$2.1M

8,498 claims · 19.4%

Your Cost: $249.10/claim|Median: $62.69
4.0× median
G9012Top 25%

Other specified case management service, per 15 minutes

$1.8M

6,565 claims · 16.8%

Your Cost: $279.01/claim|Median: $137.85
2.0× median
H2015Top 25%

Comprehensive community support services, per 15 min

$733K

2,901 claims · 6.7%

Your Cost: $252.74/claim|Median: $96.24
2.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$72K

159 claims · 0.7%

Your Cost: $450.00/claim|Median: $321.53
1.4× median
T1017Normal range

Targeted case management, per 15 min

$55K

589 claims · 0.5%

Your Cost: $93.53/claim|Median: $69.56
1.3× median