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Provider 1144523556

NPI: 1144523556Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.5M

$14,467,082

Total Claims

295K

Beneficiaries

52K

5.7 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-11%
2019
$2.0M
-2%
2020
$1.9M
-1%
2021
$1.9M
+11%
2022
$2.1M
-1%
2023
$2.1M
+8%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 87% of total spending.

T1016Normal range

Case management, each 15 min

$12.6M

273K claims · 87.1%

Your Cost: $46.13/claim|Median: $49.62
0.9× median
T2028Top 25%

Specialized supply, NOS; per unit

$591K

2,798 claims · 4.1%

Your Cost: $211.17/claim|Median: $79.30
2.7× median
A9999Normal range

$462K

6,537 claims · 3.2%

Your Cost: $70.63/claim|Median: $39.73
1.8× median
S5150Normal range

Unskilled respite care, per 15 min

$298K

3,340 claims · 2.1%

Your Cost: $89.17/claim|Median: $84.46
1.1× median
T2013Normal range

Habilitation, residential, waiver, per hour

$160K

2,975 claims · 1.1%

Your Cost: $53.64/claim|Median: $158.23
0.3× median
S9445Top 5%

$76K

816 claims · 0.5%

Your Cost: $93.23/claim|Median: $12.72
7.3× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$70K

557 claims · 0.5%

Your Cost: $125.26/claim|Median: $28.63
4.4× median
G0176Normal range

Activity therapy (group), per session

$63K

927 claims · 0.4%

Your Cost: $68.20/claim|Median: $85.09
0.8× median
T2027Normal range

Specialized transportation, waiver, per trip, extra

$58K

1,180 claims · 0.4%

Your Cost: $49.23/claim|Median: $88.93
0.6× median
S5165Top 25%

Home modifications, per service

$51K

13 claims · 0.4%

Your Cost: $3,931.87/claim|Median: $2,196.32
1.8× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$36K

3,066 claims · 0.3%

Your Cost: $11.82/claim|Median: $21.33
0.6× median
S5162Normal range

$4K

71 claims · 0.0%

Your Cost: $56.71/claim|Median: $112.17
0.5× median
S5161Normal range

Emergency response system, per month

$2K

47 claims · 0.0%

Your Cost: $34.35/claim|Median: $29.97
1.1× median
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