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Provider 1255431284

NPI: 1255431284Share
Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 95% of $14.3M billed through just 2 codes

Total Paid

$14.3M

$14,320,737

Total Claims

62K

Beneficiaries

7,431

8.3 claims/patient

Avg Cost/Claim

$232

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+38%
2019
$2.0M
+12%
2020
$2.2M
+12%
2021
$2.5M
-21%
2022
$2.0M
-11%
2023
$1.8M
+30%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1025 (Waiver services, NOS, per 15 minutes)) accounts for 95% of total spending.

T1025Top 25%

Waiver services, NOS, per 15 minutes

$13.5M

47K claims · 94.5%

Your Cost: $290.75/claim|Median: $227.80
1.3× median
T1026Normal range

Waiver services, NOS, per diem

$785K

15K claims · 5.5%

Your Cost: $51.74/claim|Median: $146.05
0.4× median