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

⚖️ Compare🖨️ Print Report

Provider 1114094448

NPI: 1114094448Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,347,108

Total Claims

72K

Beneficiaries

7,789

9.3 claims/patient

Avg Cost/Claim

$129

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+15%
2019
$1.2M
-4%
2020
$1.2M
-8%
2021
$1.1M
+9%
2022
$1.2M
+40%
2023
$1.6M
+30%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 40% of total spending.

T2013Normal range

Habilitation, residential, waiver, per hour

$3.8M

25K claims · 40.3%

Your Cost: $149.42/claim|Median: $158.23
0.9× median
T2012Normal range

Habilitation, educational; per 15 min

$2.7M

16K claims · 28.9%

Your Cost: $165.92/claim|Median: $177.54
0.9× median
H2023Normal range

Supported employment, per 15 min

$1.3M

10K claims · 13.6%

Your Cost: $122.93/claim|Median: $103.94
1.2× median
H0045Normal range

Respite care services, not in the home, per diem

$921K

14K claims · 9.9%

Your Cost: $64.86/claim|Median: $119.19
0.5× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$275K

2,504 claims · 2.9%

Your Cost: $109.62/claim|Median: $55.04
2.0× median
S5150Normal range

Unskilled respite care, per 15 min

$237K

2,732 claims · 2.5%

Your Cost: $86.57/claim|Median: $84.46
1.0× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$137K

790 claims · 1.5%

Your Cost: $174.04/claim|Median: $162.29
1.1× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$38K

155 claims · 0.4%

Your Cost: $244.42/claim|Median: $266.41
0.9× median
H2023U4Normal range

$7K

57 claims · 0.1%

Your Cost: $128.17/claim|Median: $149.78
0.9× median
← All providersHow we detect fraud →