Provider 1275679060
NPI: 1275679060Share
Active Billing Period:2018-01→2024-11(83 months)
Total Paid
$16.8M
$16,759,588
Total Claims
47K
Beneficiaries
46K
1.0 claims/patient
Avg Cost/Claim
$353
Monthly Spending Trend
Yearly Spending
2018
$770K
+174%
2019
$2.1M
+28%
2020
$2.7M
+8%
2021
$2.9M
+9%
2022
$3.2M
-12%
2023
$2.8M
-20%
2024
$2.3M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 86% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$14.5M
40K claims
$365.45
$300.13
1.2×
Normal range
T2023Normal range
Community transition, waiver; per service
$14.5M
40K claims · 86.3%
Your Cost: $365.45/claim|Median: $300.13
1.2× medianS0281Top 25%
$1.1M
4,530 claims · 6.5%
Your Cost: $239.38/claim|Median: $92.97
2.6× medianT2022Top 5%
Case management, per month
$596K
1,072 claims · 3.6%
Your Cost: $555.60/claim|Median: $202.77
2.7× medianG9004Top 1%
$307K
410 claims · 1.8%
Your Cost: $748.17/claim|Median: $55.49
13.5× median$177K
522 claims
$339.18
$48.38
7.0×
Top 1%
S0280Top 1%
Medical home program, comprehensive care management
$177K
522 claims · 1.1%
Your Cost: $339.18/claim|Median: $48.38
7.0× medianT1016Top 25%
Case management, each 15 min
$65K
364 claims · 0.4%
Your Cost: $177.47/claim|Median: $49.62
3.6× median$61K
968 claims
$62.97
$96.24
0.7×
Normal range
H2015Normal range
Comprehensive community support services, per 15 min
$61K
968 claims · 0.4%
Your Cost: $62.97/claim|Median: $96.24
0.7× median