Provider 1275677940
NPI: 1275677940Share
Active Billing Period:2018-01→2024-11(83 months)
Extreme procedure concentration — 70% of $9.2M billed through just 2 codes
Total Paid
$9.2M
$9,151,271
Total Claims
53K
Beneficiaries
6,385
8.4 claims/patient
Avg Cost/Claim
$171
Monthly Spending Trend
Yearly Spending
2018
$833K
-1%
2019
$828K
-47%
2020
$437K
+156%
2021
$1.1M
+67%
2022
$1.9M
+33%
2023
$2.5M
-36%
2024
$1.6M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 2 distinct procedure codes. The top code (S5145 (Foster care, therapeutic, child, per diem)) accounts for 70% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$6.4M
38K claims
$167.66
$216.31
0.8×
Normal range
S5145Normal range
Foster care, therapeutic, child, per diem
$6.4M
38K claims · 69.8%
Your Cost: $167.66/claim|Median: $216.31
0.8× median$2.8M
15K claims
$179.56
$119.19
1.5×
Normal range
H0045Normal range
Respite care services, not in the home, per diem
$2.8M
15K claims · 30.2%
Your Cost: $179.56/claim|Median: $119.19
1.5× median