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Provider 1275908378

NPI: 1275908378Share
Active Billing Period:2018-012024-06(78 months)

Extreme procedure concentration — 77% of $9.9M billed through just 2 codes

Total Paid

$9.9M

$9,931,151

Total Claims

141K

Beneficiaries

68K

2.1 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+16%
2019
$1.7M
-3%
2020
$1.7M
-0%
2021
$1.7M
-14%
2022
$1.4M
-4%
2023
$1.4M
-52%
2024
$654K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 77% of total spending.

T1016Normal range

Case management, each 15 min

$7.7M

106K claims · 77.3%

Your Cost: $72.07/claim|Median: $49.62
1.5× median
W0016Normal range

$2.3M

34K claims · 22.7%

Your Cost: $65.92/claim|Median: $72.46
0.9× median