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Provider 1154341923

NPI: 1154341923Share
Active Billing Period:2018-012024-12(82 months)

Extreme procedure concentration — 50% of $11.2M billed through just 2 codes

Total Paid

$11.2M

$11,201,696

Total Claims

27K

Beneficiaries

3,547

7.5 claims/patient

Avg Cost/Claim

$419

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+28%
2019
$1.6M
-37%
2020
$1.0M
+51%
2021
$1.5M
+21%
2022
$1.8M
+7%
2023
$2.0M
+2%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1025 (Waiver services, NOS, per 15 minutes)) accounts for 50% of total spending.

T1025Normal range

Waiver services, NOS, per 15 minutes

$5.6M

22K claims · 50.1%

Your Cost: $253.51/claim|Median: $227.80
1.1× median
T1026Top 1%

Waiver services, NOS, per diem

$5.6M

4,556 claims · 49.9%

Your Cost: $1,226.33/claim|Median: $146.05
8.4× median