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Provider 1144658428

NPI: 1144658428Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$16.5M

$16,471,779

Total Claims

113K

Beneficiaries

13K

8.8 claims/patient

Avg Cost/Claim

$146

Monthly Spending Trend

Yearly Spending

2021
$2.8M
+58%
2022
$4.5M
+1%
2023
$4.5M
+3%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 66% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$10.8M

18K claims · 65.7%

Your Cost: $585.32/claim|Median: $321.53
1.8× median
M0125Top 1%

$1.2M

13K claims · 7.4%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
M0123Top 1%

$956K

13K claims · 5.8%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
H2014Normal range

Skills training & development, per 15 min

$906K

20K claims · 5.5%

Your Cost: $46.31/claim|Median: $83.88
0.6× median
M0122Normal range

$522K

7,200 claims · 3.2%

Your Cost: $72.46/claim|Median: $72.56
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$444K

12K claims · 2.7%

Your Cost: $38.19/claim|Median: $87.34
0.4× median
M0118Normal range

$376K

10K claims · 2.3%

Your Cost: $36.50/claim|Median: $38.00
1.0× median
M0152Normal range

$267K

1,676 claims · 1.6%

Your Cost: $159.49/claim|Median: $174.64
0.9× median
M0116Normal range

$176K

5,700 claims · 1.1%

Your Cost: $30.89/claim|Median: $32.07
1.0× median
M0124Normal range

$134K

1,127 claims · 0.8%

Your Cost: $119.18/claim|Median: $119.18
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$126K

488 claims · 0.8%

Your Cost: $258.99/claim|Median: $24.34
10.6× median
M0115Normal range

$84K

3,018 claims · 0.5%

Your Cost: $27.79/claim|Median: $29.58
0.9× median
M0135Normal range

$82K

1,016 claims · 0.5%

Your Cost: $80.40/claim|Median: $79.23
1.0× median
M0113Normal range

$80K

255 claims · 0.5%

Your Cost: $314.66/claim|Median: $397.30
0.8× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$61K

277 claims · 0.4%

Your Cost: $219.00/claim|Median: $84.12
2.6× median
S8990Normal range

$60K

777 claims · 0.4%

Your Cost: $77.43/claim|Median: $78.36
1.0× median
T1002Top 25%

RN services, per 15 minutes

$42K

545 claims · 0.3%

Your Cost: $76.89/claim|Median: $37.42
2.1× median
T1003Normal range

LPN/LVN services, per 15 minutes

$30K

2,602 claims · 0.2%

Your Cost: $11.42/claim|Median: $24.24
0.5× median
M0117Normal range

$20K

433 claims · 0.1%

Your Cost: $46.28/claim|Median: $47.85
1.0× median
M0299Top 10%

$19K

208 claims · 0.1%

Your Cost: $93.49/claim|Median: $34.98
2.7× median
M0315Normal range

$16K

675 claims · 0.1%

Your Cost: $23.17/claim|Median: $29.80
0.8× median
M0298Normal range

$13K

1,027 claims · 0.1%

Your Cost: $12.38/claim|Median: $13.85
0.9× median
M0133Top 10%

$11K

72 claims · 0.1%

Your Cost: $148.57/claim|Median: $84.70
1.8× median
M0131Normal range

$6K

81 claims · 0.0%

Your Cost: $77.45/claim|Median: $72.01
1.1× median
M0101Top 25%

$2K

16 claims · 0.0%

Your Cost: $118.44/claim|Median: $65.66
1.8× median
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