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Provider 1235127838

NPI: 1235127838Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.2M

$10,157,147

Total Claims

192K

Beneficiaries

63K

3.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-2%
2019
$1.4M
+15%
2020
$1.6M
-6%
2021
$1.5M
-2%
2022
$1.4M
+8%
2023
$1.6M
-10%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (S9123 (Nursing care, in the home, by RN, per 15 minutes)) accounts for 47% of total spending.

S9123Normal range

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

$4.8M

65K claims · 46.9%

Your Cost: $72.91/claim|Median: $124.86
0.6× median
S9131Normal range

Physical therapy, in the home, per diem

$1.2M

17K claims · 11.9%

Your Cost: $73.15/claim|Median: $90.35
0.8× median
S9124Normal range

Nursing care, in the home; per hour

$1.1M

15K claims · 11.2%

Your Cost: $73.77/claim|Median: $400.25
0.2× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$899K

39K claims · 8.9%

Your Cost: $23.35/claim|Median: $51.67
0.5× median
G0151Normal range

Physical therapy services, home health, per visit

$662K

12K claims · 6.5%

Your Cost: $54.74/claim|Median: $67.94
0.8× median
S9129Normal range

OT, in the home, per diem

$554K

7,569 claims · 5.5%

Your Cost: $73.16/claim|Median: $76.61
1.0× median
G0152Normal range

Occupational therapy services, home health, per visit

$357K

6,736 claims · 3.5%

Your Cost: $53.04/claim|Median: $68.93
0.8× median
S9127Normal range

Social work visit, in the home, per diem

$295K

4,062 claims · 2.9%

Your Cost: $72.67/claim|Median: $98.75
0.7× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$231K

15K claims · 2.3%

Your Cost: $15.22/claim|Median: $45.50
0.3× median
G0156Normal range

Home health aide services, per visit

$27K

1,592 claims · 0.3%

Your Cost: $16.90/claim|Median: $39.42
0.4× median
G0153Normal range

Services of SLP in home health, per 15 min

$11K

277 claims · 0.1%

Your Cost: $37.93/claim|Median: $101.43
0.4× median
G0155Normal range

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

$4K

1,586 claims · 0.0%

Your Cost: $2.84/claim|Median: $7.04
0.4× median
S9122Normal range

Home health aide or certified nurse, per hour

$1K

52 claims · 0.0%

Your Cost: $28.00/claim|Median: $116.67
0.2× median
G0157Normal range

Services of PT assistant in home health, per 15 min

$201

3,418 claims · 0.0%

Your Cost: $0.06/claim|Median: $43.94
0.0× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$0

2,595 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43
0.0× median
1AA11Normal range

$0

698 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.63
G0158Normal range

Services of OT assistant in home health, per 15 min

$0

368 claims · 0.0%

Your Cost: $0.00/claim|Median: $52.84