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Provider 1174735096

NPI: 1174735096Share
Active Billing Period:2018-012024-06(76 months)

Extreme procedure concentration — 56% of $13.2M billed through just 2 codes

Total Paid

$13.2M

$13,232,599

Total Claims

123K

Beneficiaries

26K

4.7 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-2%
2019
$1.5M
-25%
2020
$1.1M
+36%
2021
$1.5M
+69%
2022
$2.5M
+25%
2023
$3.1M
-37%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1018 (School-based IEP services, per encounter)) accounts for 56% of total spending.

T1018Top 25%

School-based IEP services, per encounter

$7.4M

120K claims · 56.1%

Your Cost: $61.98/claim|Median: $39.53
1.6× median
99361Top 1%

Physician direction of emergency medical systems, online

$5.8M

3,250 claims · 43.9%

Your Cost: $1,788.55/claim|Median: $1,788.55
1.0× median