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Provider 1154463800

NPI: 1154463800Share
Active Billing Period:2018-012024-11(83 months)

Extreme procedure concentration — 84% of $12.7M billed through just 2 codes

Total Paid

$12.7M

$12,691,939

Total Claims

170K

Beneficiaries

97K

1.8 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-0%
2019
$1.9M
-23%
2020
$1.4M
+26%
2021
$1.8M
+4%
2022
$1.9M
+15%
2023
$2.1M
-17%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 84% of total spending.

T1016Normal range

Case management, each 15 min

$10.6M

139K claims · 83.7%

Your Cost: $76.18/claim|Median: $49.62
1.5× median
W0016Normal range

$2.1M

31K claims · 16.3%

Your Cost: $67.15/claim|Median: $72.46
0.9× median