Provider 1295159366
NPI: 1295159366Share
Active Billing Period:2018-06→2024-08(63 months)
Total Paid
$11.8M
$11,766,061
Total Claims
27K
Beneficiaries
1,978
13.7 claims/patient
Avg Cost/Claim
$434
Monthly Spending Trend
Yearly Spending
2018
$2.2M
+4%
2019
$2.3M
+22%
2020
$2.7M
-23%
2021
$2.1M
-77%
2022
$474K
+191%
2023
$1.4M
-53%
2024
$653K
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 6 distinct procedure codes. The top code (G0300 (Skilled nursing services, home health, per visit, LPN)) accounts for 53% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$6.3M
14K claims
$446.35
$45.50
9.8×
Top 5%
G0300Top 5%
Skilled nursing services, home health, per visit, LPN
$6.3M
14K claims · 53.1%
Your Cost: $446.35/claim|Median: $45.50
9.8× median$3.0M
6,774 claims
$444.60
$400.25
1.1×
Normal range
S9124Normal range
Nursing care, in the home; per hour
$3.0M
6,774 claims · 25.6%
Your Cost: $444.60/claim|Median: $400.25
1.1× medianZ5834Normal range
$2.4M
5,479 claims · 20.8%
Your Cost: $446.15/claim|Median: $399.78
1.1× median$26K
551 claims
$47.61
$59.83
0.8×
Normal range
G0162Normal range
Skilled services by RN in home health, per 15 min
$26K
551 claims · 0.2%
Your Cost: $47.61/claim|Median: $59.83
0.8× medianZ5836Top 25%
$19K
151 claims · 0.2%
Your Cost: $127.70/claim|Median: $99.29
1.3× medianT1016Top 25%
Case management, each 15 min
$11K
120 claims · 0.1%
Your Cost: $91.65/claim|Median: $49.62
1.8× median