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Provider 1164593901

NPI: 1164593901Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,467,693

Total Claims

194K

Beneficiaries

46K

4.2 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+11%
2019
$2.3M
-1%
2020
$2.3M
-27%
2021
$1.7M
-3%
2022
$1.6M
+6%
2023
$1.7M
-5%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 42% of total spending.

T2013Top 25%

Habilitation, residential, waiver, per hour

$5.7M

29K claims · 42.2%

Your Cost: $192.87/claim|Median: $158.23
1.2× median
T1019Normal range

Personal care services, per 15 min

$4.7M

101K claims · 34.6%

Your Cost: $46.31/claim|Median: $82.47
0.6× median
S5161Top 10%

Emergency response system, per month

$1.8M

32K claims · 13.2%

Your Cost: $55.44/claim|Median: $29.97
1.8× median
S5130Normal range

Homemaker service, NOS; per 15 min

$948K

19K claims · 7.0%

Your Cost: $49.51/claim|Median: $48.76
1.0× median
S5185Normal range

Medication reminder service, NOS, per month

$356K

10K claims · 2.6%

Your Cost: $34.81/claim|Median: $44.39
0.8× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$36K

1,911 claims · 0.3%

Your Cost: $18.84/claim|Median: $141.34
0.1× median
S5160Normal range

Emergency response system, per month

$8K

424 claims · 0.1%

Your Cost: $18.24/claim|Median: $38.52
0.5× median
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