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Provider 1104886365

NPI: 1104886365Share
Active Billing Period:2018-012024-10(82 months)

Extreme procedure concentration — 84% of $16.9M billed through just 2 codes

Total Paid

$16.9M

$16,877,349

Total Claims

298K

Beneficiaries

92K

3.2 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+7%
2019
$2.7M
-15%
2020
$2.3M
+3%
2021
$2.3M
-4%
2022
$2.2M
+14%
2023
$2.6M
-11%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 84% of total spending.

W7210Normal range

Waiver service, state-specific code

$14.1M

253K claims · 83.5%

Your Cost: $55.70/claim|Median: $80.31
0.7× median
T1017Normal range

Targeted case management, per 15 min

$2.8M

45K claims · 16.5%

Your Cost: $61.75/claim|Median: $69.56
0.9× median