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Provider 1275131005

NPI: 1275131005Share
Active Billing Period:2018-01→2024-06(78 months)

Total Paid

$12.0M

$12,009,995

Total Claims

52K

Beneficiaries

32K

1.6 claims/patient

Avg Cost/Claim

$232

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-2%
2019
$1.9M
-3%
2020
$1.9M
+2%
2021
$1.9M
-42%
2022
$1.1M
+74%
2023
$1.9M
-35%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (S5111 (Home care training, family member, per session)) accounts for 24% of total spending.

S5111Top 25%

Home care training, family member, per session

$2.9M

20K claims · 23.7%

Your Cost: $144.60/claim|Median: $87.13
1.7× median
W0500Normal range

Waiver service, state-specific code

$2.8M

15K claims · 23.1%

Your Cost: $180.56/claim|Median: $207.17
0.9× median
T2025Top 25%

Waiver services, NOS; per 15 min

$1.7M

5,253 claims · 13.9%

Your Cost: $317.56/claim|Median: $124.39
2.6× median
W0510Top 1%

$1.2M

3,783 claims · 10.4%

Your Cost: $328.79/claim|Median: $283.60
1.2× median
W0530Top 25%

$1.2M

2,647 claims · 9.9%

Your Cost: $447.27/claim|Median: $425.64
1.1× median
T2024Top 25%

Supported employment, waiver, per diem

$1.1M

2,526 claims · 9.3%

Your Cost: $442.90/claim|Median: $259.38
1.7× median
W0520Top 1%

$597K

1,318 claims · 5.0%

Your Cost: $452.81/claim|Median: $422.46
1.1× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$570K

1,238 claims · 4.7%

Your Cost: $460.69/claim|Median: $106.70
4.3× median
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