Provider 1235540212
NPI: 1235540212Share
Active Billing Period:2021-05→2024-12(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.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$14.7M
21K claims
$711.28
$144.05
4.9×
Top 10%
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$3.2M
5,172 claims
$617.26
$85.02
7.3×
Top 5%
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