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Provider 1326252214

NPI: 1326252214Share
Active Billing Period:2020-12→2024-12(49 months)

Total Paid

$15.1M

$15,101,046

Total Claims

163K

Beneficiaries

13K

12.7 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2020
$2K
+421028%
2021
$7.6M
-25%
2022
$5.7M
-84%
2023
$934K
-14%
2024
$806K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 25% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$3.7M

9,707 claims · 24.7%

Your Cost: $385.00/claim|Median: $321.53
1.2× median
M0123Top 1%

$2.5M

32K claims · 16.3%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0122Top 1%

$1.8M

25K claims · 11.8%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0125Top 1%

$1.7M

18K claims · 11.4%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
M0124Normal range

$1.2M

10K claims · 8.2%

Your Cost: $119.18/claim|Median: $119.18
1.0× median
M0167Normal range

$831K

5,310 claims · 5.5%

Your Cost: $156.47/claim|Median: $158.84
1.0× median
M0166Normal range

$775K

5,254 claims · 5.1%

Your Cost: $147.54/claim|Median: $151.35
1.0× median
M0116Normal range

$562K

17K claims · 3.7%

Your Cost: $32.72/claim|Median: $32.07
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$435K

3,690 claims · 2.9%

Your Cost: $117.81/claim|Median: $87.34
1.3× median
M0115Normal range

$367K

12K claims · 2.4%

Your Cost: $29.54/claim|Median: $29.58
1.0× median
M0118Normal range

$295K

7,761 claims · 2.0%

Your Cost: $37.98/claim|Median: $38.00
1.0× median
M0117Normal range

$244K

5,125 claims · 1.6%

Your Cost: $47.63/claim|Median: $47.85
1.0× median
H2014Normal range

Skills training & development, per 15 min

$232K

5,578 claims · 1.5%

Your Cost: $41.59/claim|Median: $83.88
0.5× median
M0113Normal range

$140K

446 claims · 0.9%

Your Cost: $314.93/claim|Median: $397.30
0.8× median
M0299Normal range

$125K

2,929 claims · 0.8%

Your Cost: $42.73/claim|Median: $34.98
1.2× median
M0101Top 10%

$59K

331 claims · 0.4%

Your Cost: $178.40/claim|Median: $65.66
2.7× median
T1002Top 25%

RN services, per 15 minutes

$42K

327 claims · 0.3%

Your Cost: $127.21/claim|Median: $37.42
3.4× median
T2016Normal range

Habilitation, residential, waiver; per diem

$25K

194 claims · 0.2%

Your Cost: $130.98/claim|Median: $331.94
0.4× median
D0120Top 1%

Periodic oral evaluation, established patient

$25K

70 claims · 0.2%

Your Cost: $354.17/claim|Median: $24.34
14.6× median
M0315Normal range

$12K

459 claims · 0.1%

Your Cost: $25.82/claim|Median: $29.80
0.9× median
M0248Top 25%

$3K

214 claims · 0.0%

Your Cost: $14.24/claim|Median: $5.31
2.7× median
M0298Normal range

$2K

149 claims · 0.0%

Your Cost: $11.61/claim|Median: $13.85
0.8× median
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