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Provider 1194812255

NPI: 1194812255Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$14.6M

$14,554,943

Total Claims

219K

Beneficiaries

46K

4.7 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$405K
-8%
2019
$372K
+84%
2020
$686K
+165%
2021
$1.8M
+4%
2022
$1.9M
+157%
2023
$4.9M
-8%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (G0299 (Skilled nursing services, home health, per visit, RN)) accounts for 60% of total spending.

G0299Normal range

Skilled nursing services, home health, per visit, RN

$8.8M

127K claims · 60.4%

Your Cost: $69.31/claim|Median: $51.67
1.3× median
G0151Normal range

Physical therapy services, home health, per visit

$2.0M

29K claims · 13.9%

Your Cost: $70.74/claim|Median: $67.94
1.0× median
0551Normal range

$1.8M

26K claims · 12.1%

Your Cost: $66.96/claim|Median: $2.10
31.9× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$1.5M

27K claims · 10.6%

Your Cost: $56.06/claim|Median: $45.50
1.2× median
0421Top 25%

$199K

1,474 claims · 1.4%

Your Cost: $135.09/claim|Median: $28.39
4.8× median
G0162Normal range

Skilled services by RN in home health, per 15 min

$104K

2,496 claims · 0.7%

Your Cost: $41.52/claim|Median: $59.83
0.7× median
G0154Normal range

Services of skilled nurse in home health, per 15 min

$70K

1,158 claims · 0.5%

Your Cost: $60.70/claim|Median: $70.85
0.9× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$35K

2,903 claims · 0.2%

Your Cost: $11.99/claim|Median: $23.43
0.5× median
2CA11Normal range

$18K

97 claims · 0.1%

Your Cost: $188.19/claim|Median: $188.19
1.0× median
0023Normal range

$9K

1,818 claims · 0.1%

Your Cost: $5.07/claim|Median: $5.53
0.9× median
2HB11Normal range

$7K

27 claims · 0.0%

Your Cost: $261.24/claim|Median: $261.24
1.0× median
G0152Normal range

Occupational therapy services, home health, per visit

$4K

53 claims · 0.0%

Your Cost: $77.78/claim|Median: $68.93
1.1× median
A6234Normal range

$9

44 claims · 0.0%

Your Cost: $0.21/claim|Median: $42.35
0.0× median