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Provider 1083845127

NPI: 1083845127Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$16.2M

$16,245,470

Total Claims

125K

Beneficiaries

47K

2.6 claims/patient

Avg Cost/Claim

$130

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+23%
2019
$1.8M
+5%
2020
$1.9M
+38%
2021
$2.7M
+15%
2022
$3.0M
-3%
2023
$3.0M
-21%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 75% of total spending.

T2023Top 25%

Community transition, waiver; per service

$12.1M

24K claims · 74.7%

Your Cost: $508.02/claim|Median: $300.13
1.7× median
T1016Normal range

Case management, each 15 min

$3.7M

76K claims · 23.0%

Your Cost: $49.43/claim|Median: $49.62
1.0× median
A0090Normal range

Non-emergency transport, per mile

$118K

16K claims · 0.7%

Your Cost: $7.51/claim|Median: $10.45
0.7× median
T2003Top 25%

Non-emergency transport; encounter/trip

$116K

2,109 claims · 0.7%

Your Cost: $55.21/claim|Median: $21.70
2.5× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$54K

3,046 claims · 0.3%

Your Cost: $17.87/claim|Median: $21.33
0.8× median
X5621Normal range

$44K

547 claims · 0.3%

Your Cost: $81.05/claim|Median: $148.81
0.5× median
A0080Normal range

$17K

2,601 claims · 0.1%

Your Cost: $6.48/claim|Median: $26.51
0.2× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$13K

522 claims · 0.1%

Your Cost: $25.56/claim|Median: $17.67
1.4× median
A0100Normal range

Non-emergency transportation; per trip

$12K

1,080 claims · 0.1%

Your Cost: $10.76/claim|Median: $24.72
0.4× median