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

⚖️ Compare🖨️ Print Report

Provider 1114967924

NPI: 1114967924Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,498,758

Total Claims

114K

Beneficiaries

59K

1.9 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+68%
2019
$2.0M
+24%
2020
$2.4M
+3%
2021
$2.5M
-20%
2022
$2.0M
+8%
2023
$2.1M
-41%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (S9123 (Nursing care, in the home, by RN, per 15 minutes)) accounts for 40% of total spending.

S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$5.4M

27K claims · 39.8%

Your Cost: $199.43/claim|Median: $124.86
1.6× median
T1030Top 5%

Nursing care, in the home, by RN, per diem

$2.0M

11K claims · 15.1%

Your Cost: $192.44/claim|Median: $85.62
2.2× median
S9131Top 10%

Physical therapy, in the home, per diem

$1.6M

11K claims · 11.5%

Your Cost: $145.55/claim|Median: $90.35
1.6× median
S5161Normal range

Emergency response system, per month

$1.4M

37K claims · 10.1%

Your Cost: $36.28/claim|Median: $29.97
1.2× median
S9122Normal range

Home health aide or certified nurse, per hour

$1.1M

14K claims · 7.9%

Your Cost: $73.68/claim|Median: $116.67
0.6× median
S9129Top 10%

OT, in the home, per diem

$683K

4,880 claims · 5.1%

Your Cost: $139.88/claim|Median: $76.61
1.8× median
T1017Top 1%

Targeted case management, per 15 min

$596K

1,257 claims · 4.4%

Your Cost: $474.31/claim|Median: $69.56
6.8× median
S9110Normal range

$494K

3,073 claims · 3.7%

Your Cost: $160.89/claim|Median: $161.92
1.0× median
S9127Top 10%

Social work visit, in the home, per diem

$256K

1,854 claims · 1.9%

Your Cost: $137.83/claim|Median: $98.75
1.4× median
S5185Normal range

Medication reminder service, NOS, per month

$39K

768 claims · 0.3%

Your Cost: $50.21/claim|Median: $44.39
1.1× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$18K

868 claims · 0.1%

Your Cost: $21.08/claim|Median: $51.67
0.4× median
T1014Normal range

$8K

828 claims · 0.1%

Your Cost: $9.75/claim|Median: $12.88
0.8× median
G0151Normal range

Physical therapy services, home health, per visit

$4K

188 claims · 0.0%

Your Cost: $22.52/claim|Median: $67.94
0.3× median
S5160Top 25%

Emergency response system, per month

$4K

81 claims · 0.0%

Your Cost: $47.83/claim|Median: $38.52
1.2× median
S9124Normal range

Nursing care, in the home; per hour

$4K

19 claims · 0.0%

Your Cost: $198.00/claim|Median: $400.25
0.5× median
G0152Normal range

Occupational therapy services, home health, per visit

$2K

29 claims · 0.0%

Your Cost: $81.24/claim|Median: $68.93
1.2× median
1111FNormal range

$1

50 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.08
0.1× median
← All providersHow we detect fraud →