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Provider 1134227465

NPI: 1134227465Share
Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 54% of $10.4M billed through just 2 codes

Total Paid

$10.4M

$10,364,088

Total Claims

173K

Beneficiaries

7,327

23.7 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-2%
2019
$1.5M
+11%
2020
$1.6M
-8%
2021
$1.5M
-3%
2022
$1.4M
-1%
2023
$1.4M
-0%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (99509 (Home visit, assistance w/ ADLs)) accounts for 54% of total spending.

99509Normal range

Home visit, assistance w/ ADLs

$5.6M

123K claims · 53.9%

Your Cost: $45.23/claim|Median: $51.71
0.9× median
S5125Normal range

Attendant care services, per 15 min

$4.8M

50K claims · 46.1%

Your Cost: $95.95/claim|Median: $82.34
1.2× median