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Provider 1194745190

NPI: 1194745190Share
Active Billing Period:2018-012024-08(80 months)

Extreme procedure concentration — 81% of $8.9M billed through just 2 codes

Total Paid

$8.9M

$8,860,570

Total Claims

8,893

Beneficiaries

2,149

4.1 claims/patient

Avg Cost/Claim

$996

Monthly Spending Trend

Yearly Spending

2018
$759K
+28%
2019
$975K
+46%
2020
$1.4M
+39%
2021
$2.0M
-26%
2022
$1.5M
-19%
2023
$1.2M
-9%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 81% of total spending.

T2046Top 10%

Habilitation, residential, waiver; per month

$7.2M

1,797 claims · 81.1%

Your Cost: $3,997.68/claim|Median: $1,795.74
2.2× median
S9126Normal range

Hospice care, in the home, per diem

$1.7M

7,096 claims · 18.9%

Your Cost: $236.29/claim|Median: $438.57
0.5× median