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Provider 1164675815

NPI: 1164675815Share
Active Billing Period:2018-012022-05(46 months)
Billing appears to have stoppedLast active: 2022-05

Total Paid

$9.0M

$8,953,340

Total Claims

34K

Beneficiaries

1,808

18.8 claims/patient

Avg Cost/Claim

$263

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+18%
2019
$2.0M
+66%
2020
$3.3M
-43%
2021
$1.9M
-92%
2022
$151K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 90% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$8.0M

27K claims · 89.8%

Your Cost: $296.48/claim|Median: $321.53
0.9× median
T2021Normal range

Day habilitation, waiver; per 15 min

$705K

4,747 claims · 7.9%

Your Cost: $148.60/claim|Median: $150.51
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$150K

1,883 claims · 1.7%

Your Cost: $79.56/claim|Median: $96.24
0.8× median
H2016HITop 1%

$61K

262 claims · 0.7%

Your Cost: $233.73/claim|Median: $191.08
1.2× median