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Provider 1144480278

NPI: 1144480278Share
Active Billing Period:2018-01→2024-12(76 months)

Total Paid

$9.8M

$9,756,876

Total Claims

185K

Beneficiaries

9,239

20.0 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
-$50K
2019
-$33K
2020
$9K
+12670%
2021
$1.1M
+157%
2022
$2.9M
+4%
2023
$3.0M
-6%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 59% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$5.8M

71K claims · 59.1%

Your Cost: $80.85/claim|Median: $321.53
0.3× median
T2016Normal range

Habilitation, residential, waiver; per diem

$1.4M

18K claims · 14.2%

Your Cost: $78.92/claim|Median: $331.94
0.2× median
M0123Top 1%

$1.0M

14K claims · 10.6%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0125Top 1%

$469K

4,984 claims · 4.8%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
H2014Normal range

Skills training & development, per 15 min

$405K

11K claims · 4.1%

Your Cost: $36.42/claim|Median: $83.88
0.4× median
M0122Top 1%

$206K

2,843 claims · 2.1%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
S5150Normal range

Unskilled respite care, per 15 min

$198K

2,762 claims · 2.0%

Your Cost: $71.65/claim|Median: $84.46
0.8× median
T2020Normal range

Day habilitation, waiver; per diem

$160K

4,347 claims · 1.6%

Your Cost: $36.89/claim|Median: $87.34
0.4× median
M0354Normal range

$75K

18K claims · 0.8%

Your Cost: $4.13/claim|Median: $90.61
0.0× median
T1002Normal range

RN services, per 15 minutes

$49K

1,930 claims · 0.5%

Your Cost: $25.64/claim|Median: $37.42
0.7× median
M0299Normal range

$45K

2,100 claims · 0.5%

Your Cost: $21.56/claim|Median: $34.98
0.6× median
M0116Normal range

$21K

620 claims · 0.2%

Your Cost: $33.45/claim|Median: $32.07
1.0× median
M0143Normal range

-$2K

1,364 claims · -0.0%

Your Cost: $-1.44/claim|Median: $105.09
M0240Normal range

-$17K

9,370 claims · -0.2%

Your Cost: $-1.77/claim|Median: $141.71
M0360Normal range

-$37K

23K claims · -0.4%

Your Cost: $-1.60/claim|Median: $102.43
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