Provider 1316319197
NPI: 1316319197Share
Active Billing Period:2018-01→2024-11(83 months)
Total Paid
$13.2M
$13,237,648
Total Claims
246K
Beneficiaries
39K
6.4 claims/patient
Avg Cost/Claim
$54
Monthly Spending Trend
Yearly Spending
2018
$731K
+63%
2019
$1.2M
+6%
2020
$1.3M
+38%
2021
$1.7M
+20%
2022
$2.1M
+57%
2023
$3.3M
-9%
2024
$3.0M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 78% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
T1016Normal range
Case management, each 15 min
$10.3M
225K claims · 77.8%
Your Cost: $45.78/claim|Median: $49.62
0.9× median$2.4M
20K claims
$124.67
$259.38
0.5×
Normal range
T2024Normal range
Supported employment, waiver, per diem
$2.4M
20K claims · 18.4%
Your Cost: $124.67/claim|Median: $259.38
0.5× median$479K
693 claims
$691.75
$531.12
1.3×
Normal range
T2038Normal range
Community transition, waiver; per service
$479K
693 claims · 3.6%
Your Cost: $691.75/claim|Median: $531.12
1.3× median$27K
784 claims
$33.98
$137.32
0.2×
Normal range
T2017Normal range
Habilitation, residential, waiver; 15 min
$27K
784 claims · 0.2%
Your Cost: $33.98/claim|Median: $137.32
0.2× median$4K
112 claims
$32.62
$8.80
3.7×
Normal range
T2004Normal range
Non-emergency transportation, commercial carrier, encounter trip
$4K
112 claims · 0.0%
Your Cost: $32.62/claim|Median: $8.80
3.7× median