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Provider 1295866796

NPI: 1295866796Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,265,840

Total Claims

265K

Beneficiaries

15K

18.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+47%
2019
$2.1M
+7%
2020
$2.2M
-22%
2021
$1.7M
-16%
2022
$1.4M
+21%
2023
$1.7M
+55%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 61% of total spending.

T1019Normal range

Personal care services, per 15 min

$8.1M

148K claims · 60.9%

Your Cost: $54.64/claim|Median: $82.47
0.7× median
S5125Top 25%

Attendant care services, per 15 min

$2.2M

16K claims · 16.5%

Your Cost: $137.46/claim|Median: $82.34
1.7× median
S5130Normal range

Homemaker service, NOS; per 15 min

$1.7M

87K claims · 12.5%

Your Cost: $18.93/claim|Median: $48.76
0.4× median
X0241Top 25%

$1.2M

9,549 claims · 8.7%

Your Cost: $121.10/claim|Median: $114.75
1.1× median
T1005Normal range

Respite care services, per 15 minutes

$142K

1,599 claims · 1.1%

Your Cost: $88.53/claim|Median: $71.40
1.2× median
S5161Normal range

Emergency response system, per month

$29K

966 claims · 0.2%

Your Cost: $30.00/claim|Median: $29.97
1.0× median
S5135Normal range

Companion care, adult, per diem

$20K

1,462 claims · 0.1%

Your Cost: $13.34/claim|Median: $52.25
0.3× median
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