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Provider 1083730899

NPI: 1083730899Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.4M

$17,381,181

Total Claims

70K

Beneficiaries

36K

1.9 claims/patient

Avg Cost/Claim

$249

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+16%
2019
$1.3M
+14%
2020
$1.5M
+38%
2021
$2.0M
+24%
2022
$2.5M
+89%
2023
$4.7M
-8%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 82% of total spending.

S5125Top 10%

Attendant care services, per 15 min

$14.3M

44K claims · 82.4%

Your Cost: $326.58/claim|Median: $82.34
4.0× median
T2038Normal range

Community transition, waiver; per service

$1.4M

1,966 claims · 7.9%

Your Cost: $697.20/claim|Median: $531.12
1.3× median
T2040Normal range

Financial management, self-directed; per month

$887K

15K claims · 5.1%

Your Cost: $60.63/claim|Median: $108.97
0.6× median
T2004Top 25%

Non-emergency transportation, commercial carrier, encounter trip

$212K

2,689 claims · 1.2%

Your Cost: $78.75/claim|Median: $8.80
8.9× median
S5170Normal range

Homemaker service, NOS, per diem

$206K

3,423 claims · 1.2%

Your Cost: $60.18/claim|Median: $19.89
3.0× median
T1005Top 5%

Respite care services, per 15 minutes

$158K

486 claims · 0.9%

Your Cost: $325.00/claim|Median: $71.40
4.6× median
S5150Normal range

Unskilled respite care, per 15 min

$133K

1,850 claims · 0.8%

Your Cost: $71.65/claim|Median: $84.46
0.8× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$48K

740 claims · 0.3%

Your Cost: $65.27/claim|Median: $141.34
0.5× median
S5130Top 25%

Homemaker service, NOS; per 15 min

$37K

264 claims · 0.2%

Your Cost: $141.01/claim|Median: $48.76
2.9× median