Provider 1164528121
NPI: 1164528121Share
Active Billing Period:2018-01→2023-12(58 months)
Billing appears to have stoppedLast active: 2023-12
Total Paid
$12.2M
$12,203,005
Total Claims
97K
Beneficiaries
4,617
20.9 claims/patient
Avg Cost/Claim
$126
Monthly Spending Trend
Yearly Spending
2018
$99K
+380%
2019
$475K
+497%
2020
$2.8M
-6%
2021
$2.7M
-12%
2022
$2.3M
+61%
2023
$3.8M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (T2020 (Day habilitation, waiver; per diem)) accounts for 39% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
T2020Top 25%
Day habilitation, waiver; per diem
$4.7M
30K claims · 38.5%
Your Cost: $156.46/claim|Median: $87.34
1.8× median$3.4M
25K claims
$135.26
$74.75
1.8×
Normal range
T2014Normal range
Habilitation, prevocational, waiver, per hour
$3.4M
25K claims · 28.0%
Your Cost: $135.26/claim|Median: $74.75
1.8× median$3.1M
31K claims
$98.10
$150.51
0.7×
Normal range
T2021Normal range
Day habilitation, waiver; per 15 min
$3.1M
31K claims · 25.3%
Your Cost: $98.10/claim|Median: $150.51
0.7× median$729K
7,786 claims
$93.61
$96.24
1.0×
Normal range
H2015Normal range
Comprehensive community support services, per 15 min
$729K
7,786 claims · 6.0%
Your Cost: $93.61/claim|Median: $96.24
1.0× median$269K
2,042 claims
$131.65
$321.53
0.4×
Normal range
H2016Normal range
Comprehensive community support services, per 15 min
$269K
2,042 claims · 2.2%
Your Cost: $131.65/claim|Median: $321.53
0.4× median