Active Billing Period:2020-10→2024-11(50 months)
Total Paid
$27.9M
$27,859,111
Total Claims
7,263
Beneficiaries
7,204
1.0 claims/patient
Avg Cost/Claim
$4K
Monthly Spending Trend
Yearly Spending
2020
$672K
+633%
2021
$4.9M
+15%
2022
$5.7M
+46%
2023
$8.3M
-0%
2024
$8.3M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (S5165 (Home modifications, per service)) accounts for 61% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$17.0M
4,499 claims
$3,775.53
$2,196.32
1.7×
Top 25%
S5165Top 25%
Home modifications, per service
$17.0M
4,499 claims · 61.0%
Your Cost: $3,775.53/claim|Median: $2,196.32
1.7× median$6.2M
1,529 claims
$4,034.99
$104.06
38.8×
Top 1%
E1399Top 1%
Durable medical equipment, miscellaneous
$6.2M
1,529 claims · 22.1%
Your Cost: $4,034.99/claim|Median: $104.06
38.8× median$4.7M
1,235 claims
$3,808.50
$141.34
26.9×
Top 1%
T2029Top 1%
Specialized transportation, waiver, per mile, extra
$4.7M
1,235 claims · 16.9%
Your Cost: $3,808.50/claim|Median: $141.34
26.9× median