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Provider 1316002439

NPI: 1316002439Share
Active Billing Period:2020-04→2024-12(57 months)

Total Paid

$15.9M

$15,872,734

Total Claims

102K

Beneficiaries

17K

6.1 claims/patient

Avg Cost/Claim

$155

Monthly Spending Trend

Yearly Spending

2020
$16K
+13334%
2021
$2.1M
+114%
2022
$4.5M
-0%
2023
$4.5M
+2%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 69% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$10.9M

8,959 claims · 68.9%

Your Cost: $1,220.67/claim|Median: $321.53
3.8× median
M0150Normal range

$1.2M

7,441 claims · 7.6%

Your Cost: $161.57/claim|Median: $161.06
1.0× median
H2014Normal range

Skills training & development, per 15 min

$784K

18K claims · 4.9%

Your Cost: $44.43/claim|Median: $83.88
0.5× median
M0122Top 1%

$653K

8,994 claims · 4.1%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0123Top 1%

$620K

8,145 claims · 3.9%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$396K

9,465 claims · 2.5%

Your Cost: $41.85/claim|Median: $87.34
0.5× median
M0116Top 25%

$288K

8,470 claims · 1.8%

Your Cost: $33.96/claim|Median: $32.07
1.1× median
D0120Top 1%

Periodic oral evaluation, established patient

$275K

595 claims · 1.7%

Your Cost: $461.52/claim|Median: $24.34
19.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$213K

15K claims · 1.3%

Your Cost: $14.25/claim|Median: $24.24
0.6× median
M0298Normal range

$117K

7,240 claims · 0.7%

Your Cost: $16.20/claim|Median: $13.85
1.2× median
M0115Normal range

$110K

3,722 claims · 0.7%

Your Cost: $29.68/claim|Median: $29.58
1.0× median
M0113Normal range

$96K

229 claims · 0.6%

Your Cost: $420.89/claim|Median: $397.30
1.1× median
T1002Normal range

RN services, per 15 minutes

$52K

996 claims · 0.3%

Your Cost: $52.49/claim|Median: $37.42
1.4× median
M0299Top 25%

$29K

420 claims · 0.2%

Your Cost: $68.75/claim|Median: $34.98
2.0× median
M0315Normal range

$26K

702 claims · 0.2%

Your Cost: $36.70/claim|Median: $29.80
1.2× median
A9153Normal range

$23K

1,083 claims · 0.1%

Your Cost: $20.95/claim|Median: $45.63
0.5× median
M0101Normal range

$17K

825 claims · 0.1%

Your Cost: $20.70/claim|Median: $65.66
0.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$15K

242 claims · 0.1%

Your Cost: $62.44/claim|Median: $84.12
0.7× median
M0133Normal range

$11K

225 claims · 0.1%

Your Cost: $49.84/claim|Median: $84.70
0.6× median
S5199Normal range

Personal care item, NOS, each

$5K

177 claims · 0.0%

Your Cost: $28.28/claim|Median: $10.82
2.6× median
M0248Normal range

$5K

1,927 claims · 0.0%

Your Cost: $2.37/claim|Median: $5.31
0.4× median
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