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Provider 1356338529

NPI: 1356338529Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.9M

$11,901,579

Total Claims

163K

Beneficiaries

28K

5.8 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+50%
2019
$2.3M
-51%
2020
$1.1M
+19%
2021
$1.3M
+19%
2022
$1.6M
+19%
2023
$1.9M
+15%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 99% of total spending.

T2046Normal range

Habilitation, residential, waiver; per month

$11.8M

75K claims · 99.2%

Your Cost: $158.10/claim|Median: $1,795.74
0.1× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$44K

32K claims · 0.4%

Your Cost: $1.39/claim|Median: $51.67
0.0× median
T2042Normal range

Financial management, self-directed, waiver, per month

$40K

242 claims · 0.3%

Your Cost: $163.69/claim|Median: $188.03
0.9× median
G0151Normal range

Physical therapy services, home health, per visit

$12K

701 claims · 0.1%

Your Cost: $17.34/claim|Median: $67.94
0.3× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$1K

6,462 claims · 0.0%

Your Cost: $0.16/claim|Median: $45.50
0.0× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$902

4,719 claims · 0.0%

Your Cost: $0.19/claim|Median: $23.43
0.0× median
G0152Normal range

Occupational therapy services, home health, per visit

$155

111 claims · 0.0%

Your Cost: $1.40/claim|Median: $68.93
0.0× median
G0155Normal range

Services of clinical social worker in home health, per 15 min

$0

6,611 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.04
Q5005Normal range

$0

242 claims · 0.0%

Your Cost: $0.00/claim|Median: $432.46
G0156Normal range

Home health aide services, per visit

$0

35K claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42
Q5003Normal range

Injection, infliximab-dyyb, biosimilar, 10 mg

$0

157 claims · 0.0%

Your Cost: $0.00/claim|Median: $177.99
Q5004Normal range

$0

1,812 claims · 0.0%

Your Cost: $0.00/claim|Median: $127.12
Q5006Normal range

$0

69 claims · 0.0%

Your Cost: $0.00/claim|Median: $544.82
J1170Normal range

Injection, hydromorphone, up to four milligrams

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03
G0157Normal range

Services of PT assistant in home health, per 15 min

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.94
T1030Normal range

Nursing care, in the home, by RN, per diem

$0

53 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.62