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Provider 1346209962

NPI: 1346209962Share
Active Billing Period:2018-012024-10(82 months)

Extreme procedure concentration — 77% of $8.2M billed through just 2 codes

Total Paid

$8.2M

$8,226,132

Total Claims

134K

Beneficiaries

51K

2.6 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$807K
+14%
2019
$922K
-1%
2020
$914K
+26%
2021
$1.2M
+30%
2022
$1.5M
+15%
2023
$1.7M
-30%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 77% of total spending.

T1016Normal range

Case management, each 15 min

$6.3M

101K claims · 76.7%

Your Cost: $62.28/claim|Median: $49.62
1.3× median
W0016Normal range

$1.9M

33K claims · 23.3%

Your Cost: $58.85/claim|Median: $72.46
0.8× median