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Provider 1255493821

NPI: 1255493821Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$14.6M

$14,595,854

Total Claims

322K

Beneficiaries

17K

19.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+20%
2019
$2.3M
+6%
2020
$2.5M
-10%
2021
$2.2M
-13%
2022
$1.9M
-10%
2023
$1.7M
+13%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 79% of total spending.

T1019Normal range

Personal care services, per 15 min

$11.6M

199K claims · 79.4%

Your Cost: $58.33/claim|Median: $82.47
0.7× median
S5130Normal range

Homemaker service, NOS; per 15 min

$2.3M

109K claims · 15.4%

Your Cost: $20.60/claim|Median: $48.76
0.4× median
T1005Normal range

Respite care services, per 15 minutes

$522K

5,964 claims · 3.6%

Your Cost: $87.58/claim|Median: $71.40
1.2× median
S5135Normal range

Companion care, adult, per diem

$119K

6,352 claims · 0.8%

Your Cost: $18.69/claim|Median: $52.25
0.4× median
X6985Top 1%

$118K

1,836 claims · 0.8%

Your Cost: $64.42/claim|Median: $52.33
1.2× median