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Provider 1205980240

NPI: 1205980240Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$9.0M

$8,960,792

Total Claims

55K

Beneficiaries

7,835

7.0 claims/patient

Avg Cost/Claim

$163

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-21%
2019
$1.8M
-13%
2020
$1.6M
-23%
2021
$1.2M
-18%
2022
$984K
-25%
2023
$736K
-41%
2024
$431K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (S9122 (Home health aide or certified nurse, per hour)) accounts for 43% of total spending.

S9122Normal range

Home health aide or certified nurse, per hour

$3.9M

27K claims · 43.3%

Your Cost: $143.13/claim|Median: $116.67
1.2× median
S9123Normal range

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

$2.4M

7,959 claims · 27.0%

Your Cost: $304.03/claim|Median: $124.86
2.4× median
T1000Normal range

Private duty/independent nursing service(s)

$966K

3,401 claims · 10.8%

Your Cost: $284.18/claim|Median: $402.76
0.7× median
S9124Normal range

Nursing care, in the home; per hour

$702K

2,750 claims · 7.8%

Your Cost: $255.24/claim|Median: $400.25
0.6× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$381K

5,468 claims · 4.2%

Your Cost: $69.65/claim|Median: $51.67
1.3× median
G0151Normal range

Physical therapy services, home health, per visit

$273K

3,631 claims · 3.0%

Your Cost: $75.05/claim|Median: $67.94
1.1× median
G0152Normal range

Occupational therapy services, home health, per visit

$150K

2,208 claims · 1.7%

Your Cost: $67.83/claim|Median: $68.93
1.0× median
S9131Normal range

Physical therapy, in the home, per diem

$73K

875 claims · 0.8%

Your Cost: $82.88/claim|Median: $90.35
0.9× median
G0157Top 25%

Services of PT assistant in home health, per 15 min

$71K

835 claims · 0.8%

Your Cost: $84.89/claim|Median: $43.94
1.9× median
S9129Normal range

OT, in the home, per diem

$41K

523 claims · 0.5%

Your Cost: $77.69/claim|Median: $76.61
1.0× median
G0159Top 25%

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

$6K

50 claims · 0.1%

Your Cost: $118.39/claim|Median: $60.00
2.0× median
G0153Normal range

Services of SLP in home health, per 15 min

$2K

33 claims · 0.0%

Your Cost: $70.33/claim|Median: $101.43
0.7× median