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

NORTHERN KENTUCKY CONSUMER DIRECTED OPTION PROGRAM

Supports Brokerage·FLORENCE, KY·NPI: 1285801985Share

Compared to Supports Brokerage Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.4M is at the 25th percentile among 14 Supports Brokerage providers.

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

Total Paid

$27.4M

$27,441,101

Total Claims

236K

Beneficiaries

40K

5.9 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+20%
2019
$3.5M
+7%
2020
$3.8M
-1%
2021
$3.7M
+5%
2022
$3.9M
+12%
2023
$4.4M
+17%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (97535 (Self-care/home management training, per 15 minutes)) accounts for 56% of total spending.

97535Top 5%

Self-care/home management training, per 15 minutes

$15.5M

135K claims · 56.4%

Your Cost: $114.63/claim|Median: $18.18
6.3× median
T1019Normal range

Personal care services, per 15 min

$5.0M

38K claims · 18.1%

Your Cost: $129.88/claim|Median: $82.47
1.6× median
T2022Normal range

Case management, per month

$3.0M

11K claims · 10.8%

Your Cost: $267.03/claim|Median: $202.77
1.3× median
T1005Normal range

Respite care services, per 15 minutes

$1.5M

21K claims · 5.6%

Your Cost: $71.92/claim|Median: $71.40
1.0× median
S5108Normal range

Home care training to home care client, per 15 minutes

$1.3M

19K claims · 4.9%

Your Cost: $69.53/claim|Median: $107.36
0.6× median
T2040Normal range

Financial management, self-directed; per month

$1.2M

11K claims · 4.2%

Your Cost: $102.43/claim|Median: $108.97
0.9× median