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Provider 1265587042

NPI: 1265587042Share
Active Billing Period:2018-012024-11(62 months)

Total Paid

$13.9M

$13,887,401

Total Claims

215K

Beneficiaries

14K

15.5 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+8%
2019
$3.1M
-63%
2020
$1.1M
+58%
2021
$1.8M
+19%
2022
$2.1M
-21%
2023
$1.7M
-22%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T1020 (Personal care services, per diem)) accounts for 22% of total spending.

T1020Normal range

Personal care services, per diem

$3.1M

15K claims · 22.0%

Your Cost: $208.01/claim|Median: $296.27
0.7× median
96159Top 25%

$2.7M

22K claims · 19.5%

Your Cost: $124.95/claim|Median: $20.68
6.0× median
96152Top 5%

Health behavior intervention, individual

$2.4M

16K claims · 17.4%

Your Cost: $155.02/claim|Median: $20.02
7.7× median
A0130Normal range

Non-emergency wheelchair van transport

$2.0M

48K claims · 14.5%

Your Cost: $42.02/claim|Median: $29.37
1.4× median
96165Top 25%

Health behavior intervention, family, each additional fifteen minutes

$1.4M

21K claims · 9.9%

Your Cost: $64.98/claim|Median: $15.54
4.2× median
96153Top 5%

Health/behavior intervention, group

$972K

12K claims · 7.0%

Your Cost: $79.67/claim|Median: $6.67
11.9× median
T2001Normal range

Non-emergency transportation, patient attendant or aide

$524K

32K claims · 3.8%

Your Cost: $16.31/claim|Median: $19.61
0.8× median
96158Normal range

$370K

22K claims · 2.7%

Your Cost: $17.06/claim|Median: $28.43
0.6× median
96164Normal range

$211K

22K claims · 1.5%

Your Cost: $9.46/claim|Median: $9.87
1.0× median
T1019Normal range

Personal care services, per 15 min

$177K

4,368 claims · 1.3%

Your Cost: $40.55/claim|Median: $82.47
0.5× median
T1002Normal range

RN services, per 15 minutes

$60K

882 claims · 0.4%

Your Cost: $68.09/claim|Median: $37.42
1.8× median
T5999Normal range

Transportation service, not otherwise classified

$54

12 claims · 0.0%

Your Cost: $4.47/claim|Median: $8.13
0.6× median