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Provider 1265437982

NPI: 1265437982Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.1M

$18,124,341

Total Claims

134K

Beneficiaries

33K

4.0 claims/patient

Avg Cost/Claim

$136

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+141%
2019
$2.9M
+21%
2020
$3.6M
-17%
2021
$3.0M
-13%
2022
$2.6M
-4%
2023
$2.5M
-1%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (T1030 (Nursing care, in the home, by RN, per diem)) accounts for 51% of total spending.

T1030Top 10%

Nursing care, in the home, by RN, per diem

$9.2M

60K claims · 51.0%

Your Cost: $154.86/claim|Median: $85.62
1.8× median
T1019Normal range

Personal care services, per 15 min

$4.0M

34K claims · 22.0%

Your Cost: $115.61/claim|Median: $82.47
1.4× median
S9131Top 25%

Physical therapy, in the home, per diem

$1.6M

13K claims · 8.8%

Your Cost: $125.96/claim|Median: $90.35
1.4× median
S5125Normal range

Attendant care services, per 15 min

$1.2M

9,594 claims · 6.8%

Your Cost: $128.73/claim|Median: $82.34
1.6× median
S9129Top 25%

OT, in the home, per diem

$872K

6,991 claims · 4.8%

Your Cost: $124.79/claim|Median: $76.61
1.6× median
S9128Top 10%

Speech therapy, in the home, per diem

$502K

3,676 claims · 2.8%

Your Cost: $136.68/claim|Median: $72.77
1.9× median
S9123Normal range

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

$288K

2,603 claims · 1.6%

Your Cost: $110.45/claim|Median: $124.86
0.9× median
S9127Top 25%

Social work visit, in the home, per diem

$192K

1,480 claims · 1.1%

Your Cost: $129.55/claim|Median: $98.75
1.3× median
S9122Normal range

Home health aide or certified nurse, per hour

$116K

1,216 claims · 0.6%

Your Cost: $95.21/claim|Median: $116.67
0.8× median
S5105Top 25%

Day care services, adult, per hour

$77K

408 claims · 0.4%

Your Cost: $188.63/claim|Median: $72.81
2.6× median
G0156Top 25%

Home health aide services, per visit

$21K

220 claims · 0.1%

Your Cost: $95.96/claim|Median: $39.42
2.4× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$753

164 claims · 0.0%

Your Cost: $4.59/claim|Median: $51.67
0.1× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$93

42 claims · 0.0%

Your Cost: $2.21/claim|Median: $32.49
0.1× median
91303Normal range

COVID-19 vaccine (J&J/Janssen), single dose

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
G0162Normal range

Skilled services by RN in home health, per 15 min

$0

255 claims · 0.0%

Your Cost: $0.00/claim|Median: $59.83
G0151Normal range

Physical therapy services, home health, per visit

$0

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $67.94
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