Provider 1174875736
NPI: 1174875736Share
Active Billing Period:2018-01→2024-09(81 months)
Total Paid
$14.1M
$14,083,191
Total Claims
73K
Beneficiaries
42K
1.8 claims/patient
Avg Cost/Claim
$192
Monthly Spending Trend
Yearly Spending
2018
$1.3M
-3%
2019
$1.2M
+127%
2020
$2.8M
-8%
2021
$2.5M
+0%
2022
$2.6M
-7%
2023
$2.4M
-43%
2024
$1.4M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 56% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
T1016Top 25%
Case management, each 15 min
$7.9M
47K claims · 55.9%
Your Cost: $166.35/claim|Median: $49.62
3.4× median$5.8M
26K claims
$228.30
$162.29
1.4×
Normal range
T2041Normal range
Supports brokerage, self-directed; per 15 min
$5.8M
26K claims · 41.5%
Your Cost: $228.30/claim|Median: $162.29
1.4× median$356K
161 claims
$2,211.58
$2,196.32
1.0×
Normal range
S5165Normal range
Home modifications, per service
$356K
161 claims · 2.5%
Your Cost: $2,211.58/claim|Median: $2,196.32
1.0× medianT2025Normal range
Waiver services, NOS; per 15 min
$15K
181 claims · 0.1%
Your Cost: $84.92/claim|Median: $124.39
0.7× median