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

Provider 1124245741

NPI: 1124245741Share
Active Billing Period:2018-012024-06(78 months)

Extreme procedure concentration — 84% of $15.4M billed through just 2 codes

Total Paid

$15.4M

$15,380,048

Total Claims

148K

Beneficiaries

18K

8.3 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+15%
2019
$3.5M
-52%
2020
$1.6M
+14%
2021
$1.9M
+15%
2022
$2.2M
-6%
2023
$2.0M
-44%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1018 (School-based IEP services, per encounter)) accounts for 84% of total spending.

T1018Top 5%

School-based IEP services, per encounter

$13.0M

140K claims · 84.3%

Your Cost: $92.97/claim|Median: $39.53
2.4× median
T2021Normal range

Day habilitation, waiver; per 15 min

$2.4M

8,288 claims · 15.7%

Your Cost: $290.85/claim|Median: $150.51
1.9× median