Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1164847737

NPI: 1164847737Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,074,679

Total Claims

102K

Beneficiaries

30K

3.4 claims/patient

Avg Cost/Claim

$168

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+20%
2019
$2.4M
+14%
2020
$2.7M
+4%
2021
$2.8M
-12%
2022
$2.4M
-2%
2023
$2.4M
+1%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 36% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$6.1M

34K claims · 35.6%

Your Cost: $178.53/claim|Median: $96.24
1.9× median
T1013Top 5%

Sign language or oral interpretive services, per 15 minutes

$5.8M

42K claims · 33.8%

Your Cost: $137.38/claim|Median: $17.67
7.8× median
T1017Top 25%

Targeted case management, per 15 min

$4.1M

19K claims · 23.7%

Your Cost: $216.51/claim|Median: $69.56
3.1× median
H2021Top 25%

Community-based wrap-around services, per 15 min

$551K

1,189 claims · 3.2%

Your Cost: $463.34/claim|Median: $169.11
2.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$442K

4,861 claims · 2.6%

Your Cost: $91.03/claim|Median: $74.63
1.2× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$184K

1,116 claims · 1.1%

Your Cost: $165.23/claim|Median: $114.71
1.4× median
← All providersHow we detect fraud →