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

⚖️ Compare🖨️ Print Report

Provider 1134244106

NPI: 1134244106Share
Active Billing Period:2021-02→2024-11(46 months)

Total Paid

$9.9M

$9,913,484

Total Claims

156K

Beneficiaries

9,869

15.8 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2021
$1.4M
+104%
2022
$2.8M
+8%
2023
$3.0M
-11%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 56% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$5.5M

68K claims · 55.9%

Your Cost: $81.34/claim|Median: $321.53
0.3× median
M0123Top 1%

$1.1M

14K claims · 11.0%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
T2016Normal range

Habilitation, residential, waiver; per diem

$964K

12K claims · 9.7%

Your Cost: $82.61/claim|Median: $331.94
0.2× median
H2014Normal range

Skills training & development, per 15 min

$509K

14K claims · 5.1%

Your Cost: $36.69/claim|Median: $83.88
0.4× median
M0122Top 1%

$437K

6,026 claims · 4.4%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$348K

9,935 claims · 3.5%

Your Cost: $35.03/claim|Median: $87.34
0.4× median
M0125Top 1%

$221K

2,347 claims · 2.2%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
M0354Normal range

$211K

2,323 claims · 2.1%

Your Cost: $90.64/claim|Median: $90.61
1.0× median
M0116Top 10%

$156K

4,469 claims · 1.6%

Your Cost: $34.90/claim|Median: $32.07
1.1× median
M0372Normal range

$117K

16K claims · 1.2%

Your Cost: $7.13/claim|Median: $13.55
0.5× median
T2025Normal range

Waiver services, NOS; per 15 min

$93K

1,296 claims · 0.9%

Your Cost: $71.89/claim|Median: $124.39
0.6× median
D0120Top 1%

Periodic oral evaluation, established patient

$74K

221 claims · 0.7%

Your Cost: $332.92/claim|Median: $24.34
13.7× median
T1002Normal range

RN services, per 15 minutes

$65K

1,655 claims · 0.7%

Your Cost: $39.20/claim|Median: $37.42
1.0× median
M0115Top 10%

$40K

1,242 claims · 0.4%

Your Cost: $31.81/claim|Median: $29.58
1.1× median
M0299Normal range

$18K

412 claims · 0.2%

Your Cost: $43.64/claim|Median: $34.98
1.2× median
S8990Normal range

$18K

218 claims · 0.2%

Your Cost: $81.72/claim|Median: $78.36
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$7K

745 claims · 0.1%

Your Cost: $9.01/claim|Median: $24.24
0.4× median
M0315Normal range

$2K

128 claims · 0.0%

Your Cost: $19.12/claim|Median: $29.80
0.6× median
M0298Normal range

$2K

208 claims · 0.0%

Your Cost: $8.78/claim|Median: $13.85
0.6× median
← All providersHow we detect fraud →