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Provider 1275581597

NPI: 1275581597Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,507,419

Total Claims

236K

Beneficiaries

52K

4.5 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-1%
2019
$2.0M
+22%
2020
$2.5M
+1%
2021
$2.5M
-23%
2022
$1.9M
-34%
2023
$1.3M
-4%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1021 (Home health aide visit, per 15 min)) accounts for 51% of total spending.

T1021Normal range

Home health aide visit, per 15 min

$6.9M

141K claims · 50.8%

Your Cost: $48.60/claim|Median: $44.79
1.1× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$2.4M

30K claims · 17.7%

Your Cost: $79.53/claim|Median: $51.67
1.5× median
S9131Normal range

Physical therapy, in the home, per diem

$1.2M

13K claims · 9.1%

Your Cost: $90.76/claim|Median: $90.35
1.0× median
T1002Top 25%

RN services, per 15 minutes

$1.1M

11K claims · 8.2%

Your Cost: $100.81/claim|Median: $37.42
2.7× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$901K

9,645 claims · 6.7%

Your Cost: $93.38/claim|Median: $49.05
1.9× median
T1030Normal range

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

$799K

9,445 claims · 5.9%

Your Cost: $84.57/claim|Median: $85.62
1.0× median
S9122Normal range

Home health aide or certified nurse, per hour

$66K

3,574 claims · 0.5%

Your Cost: $18.41/claim|Median: $116.67
0.2× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$41K

2,572 claims · 0.3%

Your Cost: $16.11/claim|Median: $7.18
2.2× median
90688Top 25%

$41K

2,684 claims · 0.3%

Your Cost: $15.22/claim|Median: $9.00
1.7× median
90651Top 25%

HPV vaccine, 9-valent

$16K

443 claims · 0.1%

Your Cost: $36.82/claim|Median: $8.93
4.1× median
90471Normal range

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

$13K

7,464 claims · 0.1%

Your Cost: $1.70/claim|Median: $9.80
0.2× median
90632Top 1%

$8K

45 claims · 0.1%

Your Cost: $176.70/claim|Median: $40.43
4.4× median
S9123Normal range

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

$7K

102 claims · 0.0%

Your Cost: $65.37/claim|Median: $124.86
0.5× median
S9128Normal range

Speech therapy, in the home, per diem

$5K

67 claims · 0.0%

Your Cost: $78.98/claim|Median: $72.77
1.1× median
90674Normal range

$5K

586 claims · 0.0%

Your Cost: $8.90/claim|Median: $15.16
0.6× median
90661Normal range

$4K

409 claims · 0.0%

Your Cost: $9.63/claim|Median: $14.37
0.7× median
91322Normal range

$4K

32 claims · 0.0%

Your Cost: $113.47/claim|Median: $76.28
1.5× median
S5130Normal range

Homemaker service, NOS; per 15 min

$3K

566 claims · 0.0%

Your Cost: $5.37/claim|Median: $48.76
0.1× median
90734Normal range

$3K

466 claims · 0.0%

Your Cost: $6.18/claim|Median: $6.40
1.0× median
90713Top 25%

Poliovirus vaccine (IPV)

$2K

131 claims · 0.0%

Your Cost: $17.27/claim|Median: $5.41
3.2× median
90715Normal range

Tdap vaccine

$1K

568 claims · 0.0%

Your Cost: $2.16/claim|Median: $10.32
0.2× median
90633Top 25%

$1K

94 claims · 0.0%

Your Cost: $11.37/claim|Median: $3.56
3.2× median
90480Normal range

$922

36 claims · 0.0%

Your Cost: $25.62/claim|Median: $25.29
1.0× median
90716Normal range

$575

91 claims · 0.0%

Your Cost: $6.32/claim|Median: $6.18
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$466

909 claims · 0.0%

Your Cost: $0.51/claim|Median: $11.79
0.0× median
91307Top 5%

$228

20 claims · 0.0%

Your Cost: $11.40/claim|Median: $0.01
1140.3× median
91300Top 10%

COVID-19 vaccine (Pfizer), first dose

$76

16 claims · 0.0%

Your Cost: $4.75/claim|Median: $0.01
475.0× median
91301

COVID-19 vaccine (Moderna), first dose

$45

42 claims · 0.0%

91305Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.93
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