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Provider 1245299114

NPI: 1245299114Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$12.8M

$12,807,841

Total Claims

137K

Beneficiaries

19K

7.1 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-22%
2019
$3.6M
-34%
2020
$2.4M
-72%
2021
$660K
-13%
2022
$572K
-19%
2023
$462K
+2%
2024
$473K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (S9122 (Home health aide or certified nurse, per hour)) accounts for 31% of total spending.

S9122Normal range

Home health aide or certified nurse, per hour

$4.0M

48K claims · 31.1%

Your Cost: $83.08/claim|Median: $116.67
0.7× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$3.6M

16K claims · 28.3%

Your Cost: $219.66/claim|Median: $124.86
1.8× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$2.3M

23K claims · 18.3%

Your Cost: $101.93/claim|Median: $51.67
2.0× median
G0151Normal range

Physical therapy services, home health, per visit

$1.1M

12K claims · 8.8%

Your Cost: $96.93/claim|Median: $67.94
1.4× median
S5130Normal range

Homemaker service, NOS; per 15 min

$1.1M

26K claims · 8.6%

Your Cost: $42.04/claim|Median: $48.76
0.9× median
S9124Normal range

Nursing care, in the home; per hour

$245K

2,230 claims · 1.9%

Your Cost: $109.94/claim|Median: $400.25
0.3× median
G0152Normal range

Occupational therapy services, home health, per visit

$243K

4,343 claims · 1.9%

Your Cost: $55.85/claim|Median: $68.93
0.8× median
G0157Normal range

Services of PT assistant in home health, per 15 min

$125K

2,014 claims · 1.0%

Your Cost: $62.23/claim|Median: $43.94
1.4× median
A6212Top 10%

$13K

54 claims · 0.1%

Your Cost: $234.10/claim|Median: $76.51
3.1× median
A6197Top 10%

$5K

12 claims · 0.0%

Your Cost: $437.31/claim|Median: $156.22
2.8× median
G0495Normal range

Skilled services of LPN in home health

$1K

50 claims · 0.0%

Your Cost: $29.11/claim|Median: $42.60
0.7× median
A6446Normal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.64
G2168Normal range

$0

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.26
A4452Normal range

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.98
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$0

1,546 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43
G0158Normal range

Services of OT assistant in home health, per 15 min

$0

98 claims · 0.0%

Your Cost: $0.00/claim|Median: $52.84
G0156Normal range

Home health aide services, per visit

$0

78 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42
A6216Normal range

Gauze, non-impregnated, sterile

$0

341 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.91
1AA11Normal range

$0

413 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.63