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Provider 1295927614

NPI: 1295927614Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$16.9M

$16,945,467

Total Claims

218K

Beneficiaries

43K

5.1 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+24%
2019
$1.6M
+62%
2020
$2.6M
+22%
2021
$3.2M
-4%
2022
$3.1M
-10%
2023
$2.8M
-18%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1005 (Respite care services, per 15 minutes)) accounts for 46% of total spending.

T1005Normal range

Respite care services, per 15 minutes

$7.7M

112K claims · 45.6%

Your Cost: $69.21/claim|Median: $71.40
1.0× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$2.4M

37K claims · 14.2%

Your Cost: $65.52/claim|Median: $137.32
0.5× median
S5150Normal range

Unskilled respite care, per 15 min

$2.0M

27K claims · 12.0%

Your Cost: $76.49/claim|Median: $84.46
0.9× median
S5151Normal range

Unskilled respite care, per diem

$1.6M

7,293 claims · 9.7%

Your Cost: $225.78/claim|Median: $249.18
0.9× median
S9125Normal range

Respite care, in the home, per diem

$1.5M

7,283 claims · 8.6%

Your Cost: $199.19/claim|Median: $187.28
1.1× median
T2040Normal range

Financial management, self-directed; per month

$747K

15K claims · 4.4%

Your Cost: $48.74/claim|Median: $108.97
0.4× median
S5125Normal range

Attendant care services, per 15 min

$385K

4,352 claims · 2.3%

Your Cost: $88.58/claim|Median: $82.34
1.1× median
99499Normal range

Unlisted evaluation and management service

$156K

3,794 claims · 0.9%

Your Cost: $41.19/claim|Median: $30.88
1.3× median
99509Top 25%

Home visit, assistance w/ ADLs

$116K

1,011 claims · 0.7%

Your Cost: $115.01/claim|Median: $51.71
2.2× median
T2027Normal range

Specialized transportation, waiver, per trip, extra

$112K

1,707 claims · 0.7%

Your Cost: $65.58/claim|Median: $88.93
0.7× median
99600Normal range

Unlisted home visit service or procedure

$78K

785 claims · 0.5%

Your Cost: $99.61/claim|Median: $111.99
0.9× median
T2025Normal range

Waiver services, NOS; per 15 min

$64K

1,123 claims · 0.4%

Your Cost: $57.23/claim|Median: $124.39
0.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$19K

418 claims · 0.1%

Your Cost: $44.85/claim|Median: $55.04
0.8× median