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

Provider 1295879542

NPI: 1295879542Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.6M

$15,581,414

Total Claims

295K

Beneficiaries

31K

9.4 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+7%
2019
$2.1M
-8%
2020
$1.9M
+24%
2021
$2.4M
-9%
2022
$2.1M
+23%
2023
$2.6M
-1%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (H2032 (Activity therapy, per 15 minutes)) accounts for 46% of total spending.

H2032Normal range

Activity therapy, per 15 minutes

$7.2M

45K claims · 46.3%

Your Cost: $161.81/claim|Median: $108.23
1.5× median
97537Normal range

$6.7M

213K claims · 42.9%

Your Cost: $31.34/claim|Median: $24.64
1.3× median
S5100Normal range

Day care services, adult, per half day

$1.7M

37K claims · 10.6%

Your Cost: $44.55/claim|Median: $67.58
0.7× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$35K

324 claims · 0.2%

Your Cost: $108.21/claim|Median: $114.71
0.9× median