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

⚖️ Compare🖨️ Print Report

Provider 1205013257

NPI: 1205013257Share
Active Billing Period:2020-07→2024-12(53 months)

Total Paid

$14.2M

$14,159,037

Total Claims

247K

Beneficiaries

14K

17.3 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2020
$739K
+355%
2021
$3.4M
-6%
2022
$3.2M
-14%
2023
$2.7M
+54%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 92% of total spending.

S5125Normal range

Attendant care services, per 15 min

$13.0M

218K claims · 91.5%

Your Cost: $59.39/claim|Median: $82.34
0.7× median
T1005Normal range

Respite care services, per 15 minutes

$1.2M

20K claims · 8.5%

Your Cost: $60.14/claim|Median: $71.40
0.8× median
G0493Normal range

$0

847 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.89
G0151Normal range

Physical therapy services, home health, per visit

$0

679 claims · 0.0%

Your Cost: $0.00/claim|Median: $67.94
G0159Normal range

Services of clinical social worker in home health, per 15 min

$0

68 claims · 0.0%

Your Cost: $0.00/claim|Median: $60.00
G0495Normal range

Skilled services of LPN in home health

$0

5,212 claims · 0.0%

Your Cost: $0.00/claim|Median: $42.60
G0299Normal range

Skilled nursing services, home health, per visit, RN

$0

714 claims · 0.0%

Your Cost: $0.00/claim|Median: $51.67
3HC11

$0

132 claims · 0.0%

3HC21

$0

13 claims · 0.0%

3EC11Normal range

$0

81 claims · 0.0%

Your Cost: $0.00/claim|Median: $44.67
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$0

1,598 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43
← All providersHow we detect fraud →