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Provider 1245383165

NPI: 1245383165Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.8M

$12,816,214

Total Claims

103K

Beneficiaries

12K

8.4 claims/patient

Avg Cost/Claim

$124

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+57%
2019
$1.6M
+17%
2020
$1.9M
+2%
2021
$1.9M
+14%
2022
$2.2M
+4%
2023
$2.3M
-16%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (0659 (Revenue code, clinic services)) accounts for 50% of total spending.

0659Normal range

Revenue code, clinic services

$6.5M

62K claims · 50.4%

Your Cost: $104.05/claim|Median: $421.95
0.2× median
0650Normal range

$3.4M

21K claims · 26.6%

Your Cost: $165.88/claim|Median: $453.45
0.4× median
S0311Top 25%

$1.6M

3,128 claims · 12.9%

Your Cost: $527.03/claim|Median: $221.54
2.4× median
0651Normal range

$504K

3,026 claims · 3.9%

Your Cost: $166.40/claim|Median: $210.85
0.8× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$296K

3,955 claims · 2.3%

Your Cost: $74.75/claim|Median: $23.43
3.2× median
A0429Normal range

Ambulance, BLS emergency transport

$287K

3,016 claims · 2.2%

Your Cost: $95.12/claim|Median: $138.19
0.7× median
0658Normal range

Revenue code, pharmacy, generic drugs

$91K

26 claims · 0.7%

Your Cost: $3,517.71/claim|Median: $4,158.95
0.8× median
T2022Normal range

Case management, per month

$60K

280 claims · 0.5%

Your Cost: $215.30/claim|Median: $202.77
1.1× median
99349Normal range

$32K

1,170 claims · 0.2%

Your Cost: $26.94/claim|Median: $24.29
1.1× median
S9123Normal range

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

$10K

275 claims · 0.1%

Your Cost: $36.93/claim|Median: $124.86
0.3× median
99490Top 25%

Chronic care management services, 20 minutes per month

$6K

389 claims · 0.0%

Your Cost: $15.51/claim|Median: $6.31
2.5× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$5K

1,133 claims · 0.0%

Your Cost: $4.40/claim|Median: $51.67
0.1× median
99345Normal range

$4K

71 claims · 0.0%

Your Cost: $60.58/claim|Median: $56.78
1.1× median
99368Normal range

$4K

930 claims · 0.0%

Your Cost: $3.94/claim|Median: $19.67
0.2× median
S5110Normal range

Home care training, family; per 15 min

$3K

343 claims · 0.0%

Your Cost: $9.60/claim|Median: $74.36
0.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$3K

62 claims · 0.0%

Your Cost: $48.85/claim|Median: $137.85
0.4× median
G0162Normal range

Skilled services by RN in home health, per 15 min

$2K

834 claims · 0.0%

Your Cost: $2.12/claim|Median: $59.83
0.0× median
99350Normal range

$1K

46 claims · 0.0%

Your Cost: $31.68/claim|Median: $35.62
0.9× median
0551Normal range

$15

1,459 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.10
0.0× median
0571Normal range

$0

605 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.48
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