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Provider 1255406286

NPI: 1255406286Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,317,460

Total Claims

157K

Beneficiaries

51K

3.1 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+28%
2019
$2.3M
+6%
2020
$2.4M
+2%
2021
$2.5M
+2%
2022
$2.5M
+3%
2023
$2.6M
-8%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 61% of total spending.

T2023Normal range

Community transition, waiver; per service

$10.0M

25K claims · 61.0%

Your Cost: $392.32/claim|Median: $300.13
1.3× median
T1016Normal range

Case management, each 15 min

$5.9M

111K claims · 35.9%

Your Cost: $53.02/claim|Median: $49.62
1.1× median
A0090Normal range

Non-emergency transport, per mile

$273K

17K claims · 1.7%

Your Cost: $15.89/claim|Median: $10.45
1.5× median
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$73K

2,754 claims · 0.5%

Your Cost: $26.69/claim|Median: $47.08
0.6× median
S5110Top 1%

Home care training, family; per 15 min

$69K

57 claims · 0.4%

Your Cost: $1,212.26/claim|Median: $74.36
16.3× median
X5621Normal range

$51K

310 claims · 0.3%

Your Cost: $166.08/claim|Median: $148.81
1.1× median
A0080Normal range

$30K

1,035 claims · 0.2%

Your Cost: $28.56/claim|Median: $26.51
1.1× median
H0001Top 25%

Alcohol and/or drug assessment

$7K

40 claims · 0.0%

Your Cost: $163.31/claim|Median: $94.22
1.7× median
T2003Normal range

Non-emergency transport; encounter/trip

$1K

41 claims · 0.0%

Your Cost: $27.40/claim|Median: $21.70
1.3× median
A0170Top 10%

$602

33 claims · 0.0%

Your Cost: $18.23/claim|Median: $3.07
5.9× median
A0190Normal range

$289

35 claims · 0.0%

Your Cost: $8.24/claim|Median: $13.78
0.6× median
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