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Provider 1083953095

NPI: 1083953095Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.9M

$16,865,370

Total Claims

70K

Beneficiaries

24K

3.0 claims/patient

Avg Cost/Claim

$240

Monthly Spending Trend

Yearly Spending

2018
$807K
+23%
2019
$992K
+80%
2020
$1.8M
+14%
2021
$2.0M
+57%
2022
$3.2M
+18%
2023
$3.8M
+15%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 52% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$8.7M

11K claims · 51.7%

Your Cost: $825.15/claim|Median: $331.94
2.5× median
T2021Normal range

Day habilitation, waiver; per 15 min

$2.8M

21K claims · 16.4%

Your Cost: $130.09/claim|Median: $150.51
0.9× median
T2015Normal range

Habilitation, prevocational, waiver, per diem

$2.7M

15K claims · 16.2%

Your Cost: $179.46/claim|Median: $88.27
2.0× median
T2003Top 25%

Non-emergency transport; encounter/trip

$638K

9,548 claims · 3.8%

Your Cost: $66.81/claim|Median: $21.70
3.1× median
T1019Top 25%

Personal care services, per 15 min

$620K

3,625 claims · 3.7%

Your Cost: $170.98/claim|Median: $82.47
2.1× median
T2019Top 25%

Habilitation, prevocational, waiver; per 15 min

$583K

3,396 claims · 3.5%

Your Cost: $171.79/claim|Median: $88.91
1.9× median
S5130Top 25%

Homemaker service, NOS; per 15 min

$539K

3,525 claims · 3.2%

Your Cost: $152.90/claim|Median: $48.76
3.1× median
H2021Normal range

Community-based wrap-around services, per 15 min

$173K

1,838 claims · 1.0%

Your Cost: $94.04/claim|Median: $169.11
0.6× median
S5150Top 25%

Unskilled respite care, per 15 min

$89K

553 claims · 0.5%

Your Cost: $160.53/claim|Median: $84.46
1.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$8K

62 claims · 0.0%

Your Cost: $131.96/claim|Median: $84.12
1.6× median
T2034Normal range

Crisis intervention, per 15 min

$0

747 claims · 0.0%

Your Cost: $0.00/claim|Median: $254.45
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