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Provider 1235343823

NPI: 1235343823Share
Active Billing Period:2018-01→2019-09(21 months)
Billing appears to have stoppedLast active: 2019-09

Total Paid

$11.1M

$11,052,331

Total Claims

297K

Beneficiaries

36K

8.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$9.6M
-85%
2019
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (S5130 (Homemaker service, NOS; per 15 min)) accounts for 45% of total spending.

S5130Normal range

Homemaker service, NOS; per 15 min

$4.9M

88K claims · 44.7%

Your Cost: $56.32/claim|Median: $48.76
1.2× median
T1019Normal range

Personal care services, per 15 min

$2.6M

61K claims · 23.6%

Your Cost: $42.70/claim|Median: $82.47
0.5× median
S5170Normal range

Homemaker service, NOS, per diem

$1.5M

108K claims · 13.1%

Your Cost: $13.49/claim|Median: $19.89
0.7× median
H0043Normal range

Supported housing, per diem

$596K

4,640 claims · 5.4%

Your Cost: $128.52/claim|Median: $164.87
0.8× median
S5102Normal range

Day care services, adult; per 15 min

$446K

5,943 claims · 4.0%

Your Cost: $75.05/claim|Median: $81.10
0.9× median
S5135Normal range

Companion care, adult, per diem

$201K

5,547 claims · 1.8%

Your Cost: $36.30/claim|Median: $52.25
0.7× median
T2003Normal range

Non-emergency transport; encounter/trip

$181K

5,340 claims · 1.6%

Your Cost: $33.98/claim|Median: $21.70
1.6× median
S5125Top 10%

Attendant care services, per 15 min

$179K

307 claims · 1.6%

Your Cost: $583.44/claim|Median: $82.34
7.1× median
S5161Normal range

Emergency response system, per month

$176K

7,389 claims · 1.6%

Your Cost: $23.87/claim|Median: $29.97
0.8× median
S5175Normal range

Laundry service, per occasion

$105K

3,450 claims · 0.9%

Your Cost: $30.34/claim|Median: $30.40
1.0× median
S5136Normal range

Companion care, adult, per 15 minutes

$70K

137 claims · 0.6%

Your Cost: $509.29/claim|Median: $302.34
1.7× median
A0100Top 1%

Non-emergency transportation; per trip

$62K

133 claims · 0.6%

Your Cost: $467.39/claim|Median: $24.72
18.9× median
T1020Normal range

Personal care services, per diem

$18K

7,428 claims · 0.2%

Your Cost: $2.40/claim|Median: $296.27
0.0× median
T2022Normal range

Case management, per month

$6K

110 claims · 0.1%

Your Cost: $50.64/claim|Median: $202.77
0.2× median
99339Normal range

$4K

190 claims · 0.0%

Your Cost: $20.79/claim|Median: $37.37
0.6× median
T1013Top 5%

Sign language or oral interpretive services, per 15 minutes

$2K

12 claims · 0.0%

Your Cost: $162.92/claim|Median: $17.67
9.2× median
S5160Normal range

Emergency response system, per month

$501

13 claims · 0.0%

Your Cost: $38.53/claim|Median: $38.52
1.0× median
99607Normal range

$169

46 claims · 0.0%

Your Cost: $3.67/claim|Median: $50.77
0.1× median
99605Normal range

$68

46 claims · 0.0%

Your Cost: $1.47/claim|Median: $50.00
0.0× median
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