Provider 1235273582
NPI: 1235273582Share
Active Billing Period:2018-01→2024-12(84 months)
Total Paid
$15.9M
$15,869,089
Total Claims
277K
Beneficiaries
21K
12.9 claims/patient
Avg Cost/Claim
$57
Monthly Spending Trend
Yearly Spending
2018
$692K
+26%
2019
$872K
+70%
2020
$1.5M
+98%
2021
$2.9M
+19%
2022
$3.5M
-10%
2023
$3.2M
+2%
2024
$3.2M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 82% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$13.0M
220K claims
$59.25
$82.34
0.7×
Normal range
S5125Normal range
Attendant care services, per 15 min
$13.0M
220K claims · 82.2%
Your Cost: $59.25/claim|Median: $82.34
0.7× medianG0749Normal range
$1.1M
11K claims · 7.2%
Your Cost: $105.15/claim|Median: $219.77
0.5× median$729K
34K claims
$21.35
$108.97
0.2×
Normal range
T2040Normal range
Financial management, self-directed; per month
$729K
34K claims · 4.6%
Your Cost: $21.35/claim|Median: $108.97
0.2× median$405K
6,616 claims
$61.18
$71.40
0.9×
Normal range
T1005Normal range
Respite care services, per 15 minutes
$405K
6,616 claims · 2.6%
Your Cost: $61.18/claim|Median: $71.40
0.9× medianG6063Top 10%
$252K
2,851 claims · 1.6%
Your Cost: $88.29/claim|Median: $36.83
2.4× medianG0227Normal range
$201K
1,818 claims · 1.3%
Your Cost: $110.79/claim|Median: $110.80
1.0× medianG0750Normal range
$90K
235 claims · 0.6%
Your Cost: $382.65/claim|Median: $618.07
0.6× median