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Provider 1194893115

NPI: 1194893115Share
Active Billing Period:2018-012024-11(82 months)

Total Paid

$9.8M

$9,821,587

Total Claims

21K

Beneficiaries

17K

1.2 claims/patient

Avg Cost/Claim

$470

Monthly Spending Trend

Yearly Spending

2018
$26K
+4109%
2019
$1.1M
+45%
2020
$1.6M
-12%
2021
$1.4M
+29%
2022
$1.8M
-2%
2023
$1.8M
+16%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T2021 (Day habilitation, waiver; per 15 min)) accounts for 52% of total spending.

T2021Top 25%

Day habilitation, waiver; per 15 min

$5.1M

7,302 claims · 52.1%

Your Cost: $700.30/claim|Median: $150.51
4.7× median
T2032Normal range

$2.2M

2,768 claims · 22.1%

Your Cost: $784.03/claim|Median: $884.68
0.9× median
S5135Top 5%

Companion care, adult, per diem

$1.0M

1,376 claims · 10.4%

Your Cost: $742.90/claim|Median: $52.25
14.2× median
H2025Top 25%

Ongoing support to maintain employment, per 15 min

$565K

1,217 claims · 5.7%

Your Cost: $463.87/claim|Median: $100.49
4.6× median
T2002Top 1%

Non-emergency transport; per trip

$335K

1,761 claims · 3.4%

Your Cost: $190.27/claim|Median: $19.35
9.8× median
T2020Top 5%

Day habilitation, waiver; per diem

$273K

404 claims · 2.8%

Your Cost: $675.85/claim|Median: $87.34
7.7× median
S0215Top 5%

Non-invasive prenatal screening, fetal chromosomal abnormalities

$143K

904 claims · 1.5%

Your Cost: $158.43/claim|Median: $21.33
7.4× median
T2003Normal range

Non-emergency transport; encounter/trip

$98K

3,907 claims · 1.0%

Your Cost: $25.01/claim|Median: $21.70
1.2× median
S5125Normal range

Attendant care services, per 15 min

$77K

1,113 claims · 0.8%

Your Cost: $68.94/claim|Median: $82.34
0.8× median
T1999Top 10%

Miscellaneous therapeutic items and supplies

$19K

63 claims · 0.2%

Your Cost: $293.76/claim|Median: $28.63
10.3× median
T2004Top 10%

Non-emergency transportation, commercial carrier, encounter trip

$7K

62 claims · 0.1%

Your Cost: $109.13/claim|Median: $8.80
12.4× median