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Provider 1205887452

NPI: 1205887452Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$13.7M

$13,739,565

Total Claims

79K

Beneficiaries

12K

6.4 claims/patient

Avg Cost/Claim

$173

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-3%
2019
$2.0M
-16%
2020
$1.6M
+4%
2021
$1.7M
+6%
2022
$1.8M
+51%
2023
$2.7M
-33%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (Q5003 (Injection, infliximab-dyyb, biosimilar, 10 mg)) accounts for 73% of total spending.

Q5003Normal range

Injection, infliximab-dyyb, biosimilar, 10 mg

$10.0M

43K claims · 72.7%

Your Cost: $234.95/claim|Median: $177.99
1.3× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$1.2M

14K claims · 9.1%

Your Cost: $91.67/claim|Median: $51.67
1.8× median
Q5007Top 1%

$922K

5,277 claims · 6.7%

Your Cost: $174.64/claim|Median: $174.64
1.0× median
G0151Normal range

Physical therapy services, home health, per visit

$687K

7,721 claims · 5.0%

Your Cost: $88.94/claim|Median: $67.94
1.3× median
G0152Normal range

Occupational therapy services, home health, per visit

$383K

4,443 claims · 2.8%

Your Cost: $86.31/claim|Median: $68.93
1.3× median
G0157Top 25%

Services of PT assistant in home health, per 15 min

$279K

3,041 claims · 2.0%

Your Cost: $91.67/claim|Median: $43.94
2.1× median
G0300Top 25%

Skilled nursing services, home health, per visit, LPN

$115K

1,145 claims · 0.8%

Your Cost: $100.59/claim|Median: $45.50
2.2× median
G0158Normal range

Services of OT assistant in home health, per 15 min

$77K

1,093 claims · 0.6%

Your Cost: $70.50/claim|Median: $52.84
1.3× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$14K

152 claims · 0.1%

Your Cost: $89.37/claim|Median: $124.86
0.7× median
G0153Normal range

Services of SLP in home health, per 15 min

$8K

93 claims · 0.1%

Your Cost: $90.82/claim|Median: $101.43
0.9× median
S9131Normal range

Physical therapy, in the home, per diem

$8K

88 claims · 0.1%

Your Cost: $90.10/claim|Median: $90.35
1.0× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$5K

36 claims · 0.0%

Your Cost: $132.37/claim|Median: $23.43
5.6× median
S9129Normal range

OT, in the home, per diem

$3K

29 claims · 0.0%

Your Cost: $91.73/claim|Median: $76.61
1.2× median
G0156Normal range

Home health aide services, per visit

$1K

166 claims · 0.0%

Your Cost: $6.89/claim|Median: $39.42
0.2× median
G0155Normal range

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

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.04