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

Provider 1194785261

NPI: 1194785261Share
Active Billing Period:2018-012024-10(82 months)

Extreme procedure concentration — 72% of $14.9M billed through just 2 codes

Total Paid

$14.9M

$14,873,027

Total Claims

52K

Beneficiaries

7,138

7.3 claims/patient

Avg Cost/Claim

$285

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-8%
2019
$2.7M
-17%
2020
$2.3M
-6%
2021
$2.1M
-12%
2022
$1.9M
-7%
2023
$1.8M
-32%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 72% of total spending.

T1019Top 25%

Personal care services, per 15 min

$10.8M

50K claims · 72.3%

Your Cost: $216.96/claim|Median: $82.47
2.6× median
T1021Top 1%

Home health aide visit, per 15 min

$4.1M

2,548 claims · 27.7%

Your Cost: $1,616.01/claim|Median: $44.79
36.1× median