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Provider 1235540212

NPI: 1235540212Share
Active Billing Period:2021-052024-12(36 months)

Extreme procedure concentration — 82% of $17.9M billed through just 2 codes

Total Paid

$17.9M

$17,877,514

Total Claims

26K

Beneficiaries

670

38.5 claims/patient

Avg Cost/Claim

$692

Monthly Spending Trend

Yearly Spending

2021
$2.6M
-42%
2022
$1.5M
+416%
2023
$7.9M
-26%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (H2020 (Day habilitation, waiver, per 15 minutes)) accounts for 82% of total spending.

H2020Top 10%

Day habilitation, waiver, per 15 minutes

$14.7M

21K claims · 82.1%

Your Cost: $711.28/claim|Median: $144.05
4.9× median
H0046Top 5%

Mental health services, not otherwise specified

$3.2M

5,172 claims · 17.9%

Your Cost: $617.26/claim|Median: $85.02
7.3× median