Provider 1295332559
NPI: 1295332559Share
Active Billing Period:2018-01→2024-11(83 months)
Total Paid
$11.9M
$11,911,448
Total Claims
32K
Beneficiaries
3,077
10.4 claims/patient
Avg Cost/Claim
$371
Monthly Spending Trend
Yearly Spending
2018
$1.1M
-12%
2019
$972K
+14%
2020
$1.1M
+13%
2021
$1.3M
-9%
2022
$1.1M
+157%
2023
$2.9M
+14%
2024
$3.4M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 6 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 35% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$4.2M
679 claims
$6,155.63
$331.94
18.5×
Top 5%
T2016Top 5%
Habilitation, residential, waiver; per diem
$4.2M
679 claims · 35.1%
Your Cost: $6,155.63/claim|Median: $331.94
18.5× median$4.2M
22K claims
$190.22
$150.51
1.3×
Normal range
T2021Normal range
Day habilitation, waiver; per 15 min
$4.2M
22K claims · 34.9%
Your Cost: $190.22/claim|Median: $150.51
1.3× medianW0715Normal range
$2.3M
4,281 claims · 19.4%
Your Cost: $540.26/claim|Median: $441.83
1.2× medianW0710Top 10%
$476K
1,533 claims · 4.0%
Your Cost: $310.39/claim|Median: $150.53
2.1× medianW0200Normal range
$400K
166 claims · 3.4%
Your Cost: $2,408.88/claim|Median: $1,957.11
1.2× median$381K
3,540 claims
$107.71
$88.91
1.2×
Normal range
T2019Normal range
Habilitation, prevocational, waiver; per 15 min
$381K
3,540 claims · 3.2%
Your Cost: $107.71/claim|Median: $88.91
1.2× median