Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1275510844

NPI: 1275510844Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.3M

$11,278,033

Total Claims

153K

Beneficiaries

51K

3.0 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+28%
2019
$2.1M
-36%
2020
$1.3M
+28%
2021
$1.7M
-16%
2022
$1.4M
+8%
2023
$1.5M
+3%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (G0151 (Physical therapy services, home health, per visit)) accounts for 34% of total spending.

G0151Normal range

Physical therapy services, home health, per visit

$3.8M

45K claims · 33.8%

Your Cost: $84.42/claim|Median: $67.94
1.2× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$3.7M

56K claims · 32.6%

Your Cost: $66.17/claim|Median: $51.67
1.3× median
G0152Normal range

Occupational therapy services, home health, per visit

$2.6M

29K claims · 23.4%

Your Cost: $89.73/claim|Median: $68.93
1.3× median
G0153Normal range

Services of SLP in home health, per 15 min

$724K

6,833 claims · 6.4%

Your Cost: $105.97/claim|Median: $101.43
1.0× median
G0155Top 25%

Services of clinical social worker in home health, per 15 min

$265K

2,699 claims · 2.4%

Your Cost: $98.32/claim|Median: $7.04
14.0× median
G0156Normal range

Home health aide services, per visit

$97K

3,912 claims · 0.9%

Your Cost: $24.78/claim|Median: $39.42
0.6× median
S9110Normal range

$30K

489 claims · 0.3%

Your Cost: $61.04/claim|Median: $161.92
0.4× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$26K

1,002 claims · 0.2%

Your Cost: $26.21/claim|Median: $45.50
0.6× median
0031ANormal range

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

$1K

74 claims · 0.0%

Your Cost: $15.12/claim|Median: $32.49
0.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$186

30 claims · 0.0%

Your Cost: $6.22/claim|Median: $33.85
0.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$165

32 claims · 0.0%

Your Cost: $5.16/claim|Median: $25.93
0.2× median
A6212Normal range

$21

86 claims · 0.0%

Your Cost: $0.24/claim|Median: $76.51
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$16

459 claims · 0.0%

Your Cost: $0.03/claim|Median: $7.18
0.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$5

54 claims · 0.0%

Your Cost: $0.09/claim|Median: $9.80
0.0× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$0

2,944 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43
0.0× median
A9270Normal range

$0

62 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.20
G0008Normal range

$0

395 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
G0493Normal range

$0

1,781 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.89
90662Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
G0495Normal range

Skilled services of LPN in home health

$0

458 claims · 0.0%

Your Cost: $0.00/claim|Median: $42.60
A6216Normal range

Gauze, non-impregnated, sterile

$0

701 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.91
A4452Normal range

$0

126 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.98
A6260Normal range

$0

459 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.03
G0157Normal range

Services of PT assistant in home health, per 15 min

$0

95 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.94