Provider 1265569818
NPI: 1265569818Share
Active Billing Period:2018-01→2021-08(44 months)
Billing appears to have stoppedLast active: 2021-08
Total Paid
$9.9M
$9,938,234
Total Claims
7,204
Beneficiaries
6,007
1.2 claims/patient
Avg Cost/Claim
$1K
Monthly Spending Trend
Yearly Spending
2018
$2.7M
-0%
2019
$2.7M
+5%
2020
$2.8M
-34%
2021
$1.8M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 85% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$8.4M
1,430 claims
$5,879.44
$331.94
17.7×
Top 5%
T2016Top 5%
Habilitation, residential, waiver; per diem
$8.4M
1,430 claims · 84.6%
Your Cost: $5,879.44/claim|Median: $331.94
17.7× medianT2020Top 10%
Day habilitation, waiver; per diem
$609K
1,732 claims · 6.1%
Your Cost: $351.67/claim|Median: $87.34
4.0× median$597K
1,496 claims
$399.14
$74.63
5.3×
Top 5%
H0004Top 5%
Behavioral health counseling & therapy, per 15 min
$597K
1,496 claims · 6.0%
Your Cost: $399.14/claim|Median: $74.63
5.3× medianT2002Top 5%
Non-emergency transport; per trip
$176K
1,201 claims · 1.8%
Your Cost: $146.34/claim|Median: $19.35
7.6× medianT2022Normal range
Case management, per month
$149K
1,345 claims · 1.5%
Your Cost: $110.54/claim|Median: $202.77
0.5× median