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Provider 1184729675

NPI: 1184729675Share
Active Billing Period:2020-06→2024-12(51 months)

Total Paid

$12.4M

$12,406,394

Total Claims

140K

Beneficiaries

8,535

16.4 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2020
$9K
+9258%
2021
$864K
+281%
2022
$3.3M
+21%
2023
$4.0M
+7%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 75% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$9.3M

75K claims · 74.9%

Your Cost: $123.64/claim|Median: $321.53
0.4× median
H2014Normal range

Skills training & development, per 15 min

$1.0M

22K claims · 8.3%

Your Cost: $46.84/claim|Median: $83.88
0.6× median
M0166Normal range

$398K

2,727 claims · 3.2%

Your Cost: $145.86/claim|Median: $151.35
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$326K

8,831 claims · 2.6%

Your Cost: $36.96/claim|Median: $87.34
0.4× median
M0123Top 1%

$321K

4,213 claims · 2.6%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0122Top 1%

$196K

2,708 claims · 1.6%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0116Normal range

$188K

5,803 claims · 1.5%

Your Cost: $32.38/claim|Median: $32.07
1.0× median
M0118Top 25%

$108K

2,722 claims · 0.9%

Your Cost: $39.67/claim|Median: $38.00
1.0× median
M0133Normal range

$106K

1,924 claims · 0.9%

Your Cost: $54.99/claim|Median: $84.70
0.6× median
T1002Normal range

RN services, per 15 minutes

$105K

5,798 claims · 0.8%

Your Cost: $18.03/claim|Median: $37.42
0.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$102K

1,810 claims · 0.8%

Your Cost: $56.57/claim|Median: $84.12
0.7× median
M0115Normal range

$87K

2,941 claims · 0.7%

Your Cost: $29.47/claim|Median: $29.58
1.0× median
M0299Normal range

$54K

2,755 claims · 0.4%

Your Cost: $19.47/claim|Median: $34.98
0.6× median
D0120Top 1%

Periodic oral evaluation, established patient

$51K

132 claims · 0.4%

Your Cost: $388.80/claim|Median: $24.34
16.0× median
M0167Normal range

$26K

179 claims · 0.2%

Your Cost: $146.47/claim|Median: $158.84
0.9× median
M0171Normal range

$12K

217 claims · 0.1%

Your Cost: $57.40/claim|Median: $73.78
0.8× median
M0315Normal range

$1K

55 claims · 0.0%

Your Cost: $25.76/claim|Median: $29.80
0.9× median
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