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Provider 1356889216

NPI: 1356889216Share
Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 78% of $12.4M billed through just 2 codes

Total Paid

$12.4M

$12,439,658

Total Claims

147K

Beneficiaries

8,113

18.1 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+3%
2019
$1.6M
+8%
2020
$1.8M
-7%
2021
$1.7M
+4%
2022
$1.7M
+7%
2023
$1.9M
+17%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (S5102 (Day care services, adult; per 15 min)) accounts for 78% of total spending.

S5102Normal range

Day care services, adult; per 15 min

$9.7M

105K claims · 77.9%

Your Cost: $92.35/claim|Median: $81.10
1.1× median
W5102Normal range

Waiver service, state-specific code

$2.8M

42K claims · 22.1%

Your Cost: $65.34/claim|Median: $62.73
1.0× median