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Provider 1356498745

NPI: 1356498745Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$16.6M

$16,565,741

Total Claims

115K

Beneficiaries

15K

7.8 claims/patient

Avg Cost/Claim

$144

Monthly Spending Trend

Yearly Spending

2021
$2.7M
+66%
2022
$4.5M
+6%
2023
$4.8M
-6%
2024
$4.5M

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 63% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$10.4M

13K claims · 63.0%

Your Cost: $785.96/claim|Median: $321.53
2.4× median
M0122Top 1%

$1.3M

18K claims · 7.9%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0123Top 1%

$1.3M

17K claims · 7.6%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.0M

25K claims · 6.2%

Your Cost: $41.66/claim|Median: $83.88
0.5× median
M0125Top 1%

$654K

6,949 claims · 3.9%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$459K

4,977 claims · 2.8%

Your Cost: $92.13/claim|Median: $87.34
1.1× median
D0120Top 1%

Periodic oral evaluation, established patient

$238K

700 claims · 1.4%

Your Cost: $340.61/claim|Median: $24.34
14.0× median
M0116Normal range

$207K

6,201 claims · 1.3%

Your Cost: $33.41/claim|Median: $32.07
1.0× median
T1002Normal range

RN services, per 15 minutes

$206K

6,100 claims · 1.2%

Your Cost: $33.83/claim|Median: $37.42
0.9× median
M0118Normal range

$179K

4,531 claims · 1.1%

Your Cost: $39.54/claim|Median: $38.00
1.0× median
M0115Normal range

$166K

5,383 claims · 1.0%

Your Cost: $30.79/claim|Median: $29.58
1.0× median
T2016Normal range

Habilitation, residential, waiver; per diem

$98K

1,909 claims · 0.6%

Your Cost: $51.37/claim|Median: $331.94
0.2× median
M0299Normal range

$88K

2,073 claims · 0.5%

Your Cost: $42.30/claim|Median: $34.98
1.2× median
M0113Normal range

$68K

232 claims · 0.4%

Your Cost: $293.34/claim|Median: $397.30
0.7× median
M0171Top 5%

$53K

619 claims · 0.3%

Your Cost: $86.06/claim|Median: $73.78
1.2× median
T2025Normal range

Waiver services, NOS; per 15 min

$45K

647 claims · 0.3%

Your Cost: $69.28/claim|Median: $124.39
0.6× median
M0354Normal range

$22K

489 claims · 0.1%

Your Cost: $44.13/claim|Median: $90.61
0.5× median
M0315Normal range

$17K

754 claims · 0.1%

Your Cost: $22.21/claim|Median: $29.80
0.7× median
M0101Normal range

$15K

146 claims · 0.1%

Your Cost: $102.33/claim|Median: $65.66
1.6× median
M0248Normal range

$3K

360 claims · 0.0%

Your Cost: $7.22/claim|Median: $5.31
1.4× median
M0372Normal range

$2K

108 claims · 0.0%

Your Cost: $15.47/claim|Median: $13.55
1.1× median
M0307Normal range

$521

20 claims · 0.0%

Your Cost: $26.04/claim|Median: $29.10
0.9× median
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