Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1083866321

NPI: 1083866321Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.9M

$12,896,864

Total Claims

70K

Beneficiaries

7,356

9.5 claims/patient

Avg Cost/Claim

$185

Monthly Spending Trend

Yearly Spending

2018
$936K
+22%
2019
$1.1M
+6%
2020
$1.2M
+42%
2021
$1.7M
+36%
2022
$2.3M
+20%
2023
$2.8M
+1%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T2026 (Specialized transportation, waiver, per trip)) accounts for 83% of total spending.

T2026Normal range

Specialized transportation, waiver, per trip

$10.7M

51K claims · 83.1%

Your Cost: $210.66/claim|Median: $170.05
1.2× median
G0100Normal range

$751K

7,327 claims · 5.8%

Your Cost: $102.48/claim|Median: $82.82
1.2× median
H2032Top 25%

Activity therapy, per 15 minutes

$641K

3,194 claims · 5.0%

Your Cost: $200.64/claim|Median: $108.23
1.9× median
97124Top 25%

$369K

4,402 claims · 2.9%

Your Cost: $83.82/claim|Median: $17.78
4.7× median
G0176Normal range

Activity therapy (group), per session

$217K

2,558 claims · 1.7%

Your Cost: $84.66/claim|Median: $85.09
1.0× median
G0648Top 1%

$151K

1,325 claims · 1.2%

Your Cost: $113.79/claim|Median: $13.92
8.2× median
S5125Top 10%

Attendant care services, per 15 min

$48K

101 claims · 0.4%

Your Cost: $479.97/claim|Median: $82.34
5.8× median
97113Top 5%

$9K

72 claims · 0.1%

Your Cost: $127.44/claim|Median: $51.02
2.5× median