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Provider 1205993664

NPI: 1205993664Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$15.3M

$15,299,016

Total Claims

92K

Beneficiaries

26K

3.6 claims/patient

Avg Cost/Claim

$166

Monthly Spending Trend

Yearly Spending

2018
$867K
+16%
2019
$1.0M
+37%
2020
$1.4M
+84%
2021
$2.5M
+8%
2022
$2.7M
+26%
2023
$3.5M
-3%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 60% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$9.2M

25K claims · 60.3%

Your Cost: $367.29/claim|Median: $321.53
1.1× median
H2025Top 25%

Ongoing support to maintain employment, per 15 min

$2.9M

8,912 claims · 19.2%

Your Cost: $330.08/claim|Median: $100.49
3.3× median
H2023Normal range

Supported employment, per 15 min

$1.2M

25K claims · 7.7%

Your Cost: $47.55/claim|Median: $103.94
0.5× median
T2015Normal range

Habilitation, prevocational, waiver, per diem

$796K

18K claims · 5.2%

Your Cost: $44.89/claim|Median: $88.27
0.5× median
T2018Top 25%

$700K

3,264 claims · 4.6%

Your Cost: $214.45/claim|Median: $117.28
1.8× median
T2021Normal range

Day habilitation, waiver; per 15 min

$218K

8,715 claims · 1.4%

Your Cost: $25.01/claim|Median: $150.51
0.2× median
T2020Normal range

Day habilitation, waiver; per diem

$183K

2,557 claims · 1.2%

Your Cost: $71.44/claim|Median: $87.34
0.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$54K

1,192 claims · 0.3%

Your Cost: $44.91/claim|Median: $96.24
0.5× median
S9485Normal range

Crisis intervention mental health services, per diem

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $501.33
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