Provider 1063750941
NPI: 1063750941Share
Active Billing Period:2019-07→2024-12(66 months)
Total Paid
$16.7M
$16,670,549
Total Claims
105K
Beneficiaries
7,557
13.8 claims/patient
Avg Cost/Claim
$159
Monthly Spending Trend
Yearly Spending
2019
$60K
+61%
2020
$96K
-14%
2021
$82K
+4954%
2022
$4.2M
+42%
2023
$5.9M
+7%
2024
$6.4M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 81% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$13.4M
59K claims
$227.11
$331.94
0.7×
Normal range
T2016Normal range
Habilitation, residential, waiver; per diem
$13.4M
59K claims · 80.6%
Your Cost: $227.11/claim|Median: $331.94
0.7× median$1.7M
23K claims
$76.29
$87.34
0.9×
Normal range
T2020Normal range
Day habilitation, waiver; per diem
$1.7M
23K claims · 10.4%
Your Cost: $76.29/claim|Median: $87.34
0.9× medianH2026Normal range
$1.0M
15K claims · 6.2%
Your Cost: $69.66/claim|Median: $76.18
0.9× medianT1016Normal range
Case management, each 15 min
$310K
5,987 claims · 1.9%
Your Cost: $51.70/claim|Median: $49.62
1.0× median$144K
1,801 claims
$79.78
$53.00
1.5×
Top 25%
T1027Top 25%
Family training and counseling, per 15 minutes
$144K
1,801 claims · 0.9%
Your Cost: $79.78/claim|Median: $53.00
1.5× median