Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1245524792

NPI: 1245524792Share
Active Billing Period:2018-012024-12(81 months)

Extreme procedure concentration — 78% of $9.8M billed through just 2 codes

Total Paid

$9.8M

$9,807,866

Total Claims

36K

Beneficiaries

2,509

14.3 claims/patient

Avg Cost/Claim

$273

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-23%
2019
$1.9M
-36%
2020
$1.2M
-19%
2021
$994K
-26%
2022
$734K
+63%
2023
$1.2M
+4%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1026 (Waiver services, NOS, per diem)) accounts for 78% of total spending.

T1026Top 25%

Waiver services, NOS, per diem

$7.7M

27K claims · 78.2%

Your Cost: $286.78/claim|Median: $146.05
2.0× median
Z5868Normal range

$2.1M

9,101 claims · 21.8%

Your Cost: $234.41/claim|Median: $241.19
1.0× median