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Provider 1245236306

NPI: 1245236306Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,362,036

Total Claims

117K

Beneficiaries

65K

1.8 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$888K
+87%
2019
$1.7M
+11%
2020
$1.8M
-5%
2021
$1.8M
-3%
2022
$1.7M
-22%
2023
$1.3M
-11%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0299 (Skilled nursing services, home health, per visit, RN)) accounts for 41% of total spending.

G0299Top 5%

Skilled nursing services, home health, per visit, RN

$4.2M

26K claims · 40.8%

Your Cost: $161.88/claim|Median: $51.67
3.1× median
G0151Top 25%

Physical therapy services, home health, per visit

$3.2M

26K claims · 31.1%

Your Cost: $124.14/claim|Median: $67.94
1.8× median
G0152Top 25%

Occupational therapy services, home health, per visit

$1.4M

13K claims · 13.4%

Your Cost: $108.67/claim|Median: $68.93
1.6× median
G0155Top 25%

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

$393K

2,973 claims · 3.8%

Your Cost: $132.23/claim|Median: $7.04
18.8× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$299K

5,566 claims · 2.9%

Your Cost: $53.67/claim|Median: $45.50
1.2× median
S9110Normal range

$206K

2,772 claims · 2.0%

Your Cost: $74.31/claim|Median: $161.92
0.5× median
T1502Top 5%

Administration of oral, intramuscular, or subcutaneous medication

$143K

1,813 claims · 1.4%

Your Cost: $78.83/claim|Median: $7.86
10.0× median
G0153Top 5%

Services of SLP in home health, per 15 min

$104K

503 claims · 1.0%

Your Cost: $206.15/claim|Median: $101.43
2.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$79K

2,825 claims · 0.8%

Your Cost: $28.10/claim|Median: $33.72
0.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$72K

2,555 claims · 0.7%

Your Cost: $28.03/claim|Median: $36.70
0.8× median
G0156Normal range

Home health aide services, per visit

$41K

1,744 claims · 0.4%

Your Cost: $23.60/claim|Median: $39.42
0.6× median
91320Normal range

$33K

483 claims · 0.3%

Your Cost: $67.94/claim|Median: $72.65
0.9× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$28K

1,130 claims · 0.3%

Your Cost: $24.92/claim|Median: $36.49
0.7× median
G0008Top 25%

$28K

2,756 claims · 0.3%

Your Cost: $10.05/claim|Median: $2.54
4.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$20K

1,600 claims · 0.2%

Your Cost: $12.25/claim|Median: $33.85
0.4× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$18K

1,629 claims · 0.2%

Your Cost: $11.30/claim|Median: $25.93
0.4× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$15K

775 claims · 0.1%

Your Cost: $19.93/claim|Median: $32.49
0.6× median
0013ANormal range

$14K

671 claims · 0.1%

Your Cost: $21.09/claim|Median: $35.38
0.6× median
90480Normal range

$10K

482 claims · 0.1%

Your Cost: $20.39/claim|Median: $25.29
0.8× median
90688Normal range

$9K

873 claims · 0.1%

Your Cost: $10.08/claim|Median: $9.00
1.1× median
0124ANormal range

$3K

185 claims · 0.0%

Your Cost: $16.30/claim|Median: $34.32
0.5× median
0134ANormal range

$2K

81 claims · 0.0%

Your Cost: $20.09/claim|Median: $33.54
0.6× median
90653Top 25%

$2K

75 claims · 0.0%

Your Cost: $21.20/claim|Median: $6.85
3.1× median
90662Top 25%

$2K

65 claims · 0.0%

Your Cost: $23.08/claim|Median: $6.55
3.5× median
99350Normal range

$1K

33 claims · 0.0%

Your Cost: $42.76/claim|Median: $35.62
1.2× median
0004ANormal range

$1K

116 claims · 0.0%

Your Cost: $11.16/claim|Median: $35.62
0.3× median
90656Normal range

$872

305 claims · 0.0%

Your Cost: $2.86/claim|Median: $8.67
0.3× median
0054ANormal range

$740

56 claims · 0.0%

Your Cost: $13.21/claim|Median: $35.83
0.4× median
0064ANormal range

$740

82 claims · 0.0%

Your Cost: $9.02/claim|Median: $34.17
0.3× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$621

73 claims · 0.0%

Your Cost: $8.50/claim|Median: $9.80
0.9× median
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