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Provider 1154782662

NPI: 1154782662Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$7.6M

$7,590,477

Total Claims

37K

Beneficiaries

4,555

8.2 claims/patient

Avg Cost/Claim

$203

Monthly Spending Trend

Yearly Spending

2021
$400K
+315%
2022
$1.7M
+55%
2023
$2.6M
+14%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 67% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$5.1M

5,200 claims · 66.9%

Your Cost: $976.03/claim|Median: $321.53
3.0× median
H2014Normal range

Skills training & development, per 15 min

$1.2M

17K claims · 15.4%

Your Cost: $66.96/claim|Median: $83.88
0.8× median
M0167Normal range

$399K

2,559 claims · 5.3%

Your Cost: $155.93/claim|Median: $158.84
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$244K

1,962 claims · 3.2%

Your Cost: $124.13/claim|Median: $84.12
1.5× median
T2020Normal range

Day habilitation, waiver; per diem

$179K

1,522 claims · 2.4%

Your Cost: $117.36/claim|Median: $87.34
1.3× median
M0133Top 10%

$168K

1,177 claims · 2.2%

Your Cost: $142.46/claim|Median: $84.70
1.7× median
M0299Top 25%

$129K

1,959 claims · 1.7%

Your Cost: $65.87/claim|Median: $34.98
1.9× median
T1002Normal range

RN services, per 15 minutes

$98K

1,453 claims · 1.3%

Your Cost: $67.18/claim|Median: $37.42
1.8× median
M0116Normal range

$69K

2,236 claims · 0.9%

Your Cost: $30.79/claim|Median: $32.07
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$42K

1,417 claims · 0.6%

Your Cost: $29.79/claim|Median: $24.24
1.2× median
M0298Top 5%

$16K

451 claims · 0.2%

Your Cost: $35.28/claim|Median: $13.85
2.5× median
M0171Top 25%

$7K

83 claims · 0.1%

Your Cost: $78.59/claim|Median: $73.78
1.1× median
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