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Provider 1215090196

NPI: 1215090196Share
Active Billing Period:2018-01→2024-10(64 months)

Total Paid

$10.0M

$10,007,067

Total Claims

101K

Beneficiaries

7,561

13.4 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+42%
2019
$1.7M
-47%
2020
$890K
+107%
2021
$1.8M
+2%
2022
$1.9M
-6%
2023
$1.8M
-56%
2024
$782K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (96159) accounts for 29% of total spending.

96159Top 10%

$2.9M

19K claims · 29.2%

Your Cost: $150.37/claim|Median: $20.68
7.3× median
T1020Normal range

Personal care services, per diem

$2.2M

8,860 claims · 22.0%

Your Cost: $248.04/claim|Median: $296.27
0.8× median
96152Top 5%

Health behavior intervention, individual

$1.9M

11K claims · 18.5%

Your Cost: $163.04/claim|Median: $20.02
8.1× median
A0110Top 5%

Non-emergency taxi transport

$1.4M

21K claims · 14.3%

Your Cost: $69.28/claim|Median: $9.27
7.5× median
96165Top 25%

Health behavior intervention, family, each additional fifteen minutes

$532K

6,871 claims · 5.3%

Your Cost: $77.47/claim|Median: $15.54
5.0× median
96158Normal range

$392K

20K claims · 3.9%

Your Cost: $19.83/claim|Median: $28.43
0.7× median
96153Top 5%

Health/behavior intervention, group

$348K

3,680 claims · 3.5%

Your Cost: $94.57/claim|Median: $6.67
14.2× median
T1019Normal range

Personal care services, per 15 min

$231K

2,774 claims · 2.3%

Your Cost: $83.45/claim|Median: $82.47
1.0× median
96164Normal range

$95K

7,488 claims · 0.9%

Your Cost: $12.68/claim|Median: $9.87
1.3× median
T2001Normal range

Non-emergency transportation, patient attendant or aide

$2K

367 claims · 0.0%

Your Cost: $5.70/claim|Median: $19.61
0.3× median
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