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Provider 1346343217

NPI: 1346343217Share
Active Billing Period:2018-01→2024-05(63 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$15.5M

$15,513,706

Total Claims

105K

Beneficiaries

14K

7.4 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-1%
2019
$2.9M
-46%
2020
$1.6M
+18%
2021
$1.8M
+39%
2022
$2.6M
+0%
2023
$2.6M
-51%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1020 (Personal care services, per diem)) accounts for 36% of total spending.

T1020Top 25%

Personal care services, per diem

$5.6M

8,144 claims · 36.3%

Your Cost: $692.08/claim|Median: $296.27
2.3× median
96159Top 5%

$4.7M

24K claims · 30.4%

Your Cost: $197.22/claim|Median: $20.68
9.5× median
96152Top 5%

Health behavior intervention, individual

$3.0M

12K claims · 19.2%

Your Cost: $245.95/claim|Median: $20.02
12.3× median
96158Normal range

$576K

14K claims · 3.7%

Your Cost: $40.52/claim|Median: $28.43
1.4× median
T2001Normal range

Non-emergency transportation, patient attendant or aide

$550K

22K claims · 3.5%

Your Cost: $25.03/claim|Median: $19.61
1.3× median
A0130Normal range

Non-emergency wheelchair van transport

$505K

12K claims · 3.3%

Your Cost: $41.17/claim|Median: $29.37
1.4× median
T1019Normal range

Personal care services, per 15 min

$214K

2,698 claims · 1.4%

Your Cost: $79.44/claim|Median: $82.47
1.0× median
96153Top 5%

Health/behavior intervention, group

$192K

2,269 claims · 1.2%

Your Cost: $84.82/claim|Median: $6.67
12.7× median
A0110Top 5%

Non-emergency taxi transport

$61K

925 claims · 0.4%

Your Cost: $66.33/claim|Median: $9.27
7.2× median
96165Top 5%

Health behavior intervention, family, each additional fifteen minutes

$59K

535 claims · 0.4%

Your Cost: $110.85/claim|Median: $15.54
7.1× median
96164Top 5%

$23K

848 claims · 0.1%

Your Cost: $26.63/claim|Median: $9.87
2.7× median
T5999Normal range

Transportation service, not otherwise classified

$3K

5,242 claims · 0.0%

Your Cost: $0.62/claim|Median: $8.13
0.1× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$1K

150 claims · 0.0%

Your Cost: $7.44/claim|Median: $28.63
0.3× median
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