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Provider 1083073050

NPI: 1083073050Share
Active Billing Period:2019-04→2024-11(68 months)

Total Paid

$11.2M

$11,196,419

Total Claims

130K

Beneficiaries

45K

2.9 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2019
$0
2020
$0
2021
$1.5M
+116%
2022
$3.3M
+13%
2023
$3.7M
-28%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T2030 (Supported employment, job coaching, waiver, per diem)) accounts for 49% of total spending.

T2030Top 1%

Supported employment, job coaching, waiver, per diem

$5.5M

2,308 claims · 49.1%

Your Cost: $2,380.13/claim|Median: $1,184.47
2.0× median
S5130Normal range

Homemaker service, NOS; per 15 min

$2.6M

34K claims · 23.0%

Your Cost: $76.16/claim|Median: $48.76
1.6× median
T1019Normal range

Personal care services, per 15 min

$1.8M

21K claims · 16.0%

Your Cost: $83.57/claim|Median: $82.47
1.0× median
E1390Top 1%

Oxygen concentrator, single delivery port

$166K

1,019 claims · 1.5%

Your Cost: $162.72/claim|Median: $45.11
3.6× median
S5161Normal range

Emergency response system, per month

$141K

6,669 claims · 1.3%

Your Cost: $21.09/claim|Median: $29.97
0.7× median
S9986Top 1%

$105K

837 claims · 0.9%

Your Cost: $124.98/claim|Median: $2.86
43.7× median
11721Top 5%

$101K

1,901 claims · 0.9%

Your Cost: $53.05/claim|Median: $8.56
6.2× median
97530Normal range

Therapeutic activities, each 15 min

$95K

3,487 claims · 0.8%

Your Cost: $27.27/claim|Median: $33.11
0.8× median
A9999Normal range

$86K

974 claims · 0.8%

Your Cost: $88.05/claim|Median: $39.73
2.2× median
T2003Top 10%

Non-emergency transport; encounter/trip

$82K

1,035 claims · 0.7%

Your Cost: $79.30/claim|Median: $21.70
3.7× median
A0120Top 25%

Non-emergency mini-bus transport

$63K

693 claims · 0.6%

Your Cost: $90.33/claim|Median: $16.09
5.6× median
90837Normal range

Psychotherapy, 60 minutes

$54K

606 claims · 0.5%

Your Cost: $88.72/claim|Median: $85.66
1.0× median
S5170Top 5%

Homemaker service, NOS, per diem

$54K

233 claims · 0.5%

Your Cost: $230.60/claim|Median: $19.89
11.6× median
A0130Top 25%

Non-emergency wheelchair van transport

$42K

742 claims · 0.4%

Your Cost: $56.90/claim|Median: $29.37
1.9× median
D1110Top 1%

Prophylaxis, adult cleaning

$40K

340 claims · 0.4%

Your Cost: $116.70/claim|Median: $43.38
2.7× median
E0601Top 5%

Continuous positive airway pressure (CPAP) device

$32K

308 claims · 0.3%

Your Cost: $104.84/claim|Median: $35.30
3.0× median
97110Normal range

Therapeutic exercises, each 15 min

$28K

3,701 claims · 0.2%

Your Cost: $7.51/claim|Median: $24.49
0.3× median
97124Top 5%

$28K

206 claims · 0.2%

Your Cost: $133.71/claim|Median: $17.78
7.5× median
D9986Top 5%

$26K

509 claims · 0.2%

Your Cost: $51.05/claim|Median: $1.04
49.1× median
E1392Top 1%

$25K

81 claims · 0.2%

Your Cost: $303.70/claim|Median: $10.81
28.1× median
T1017Normal range

Targeted case management, per 15 min

$22K

493 claims · 0.2%

Your Cost: $43.97/claim|Median: $69.56
0.6× median
D0120Top 5%

Periodic oral evaluation, established patient

$17K

282 claims · 0.2%

Your Cost: $61.87/claim|Median: $24.34
2.5× median
A0425Normal range

Ground mileage, per statute mile

$16K

514 claims · 0.1%

Your Cost: $31.30/claim|Median: $23.36
1.3× median
D1206Top 1%

Topical application of fluoride varnish

$15K

321 claims · 0.1%

Your Cost: $46.23/claim|Median: $18.12
2.6× median
97116Normal range

Gait training

$14K

2,162 claims · 0.1%

Your Cost: $6.65/claim|Median: $12.48
0.5× median
D0277Top 1%

$12K

126 claims · 0.1%

Your Cost: $96.21/claim|Median: $31.18
3.1× median
E0265Normal range

$10K

128 claims · 0.1%

Your Cost: $81.00/claim|Median: $41.12
2.0× median
97810Top 5%

$10K

129 claims · 0.1%

Your Cost: $75.77/claim|Median: $23.92
3.2× median
98960Top 5%

$7K

49 claims · 0.1%

Your Cost: $141.19/claim|Median: $12.74
11.1× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$6K

604 claims · 0.1%

Your Cost: $9.68/claim|Median: $5.50
1.8× median
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