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Provider 1366600439

NPI: 1366600439Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.3M

$8,275,724

Total Claims

24K

Beneficiaries

12K

2.0 claims/patient

Avg Cost/Claim

$345

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-13%
2019
$1.5M
-23%
2020
$1.2M
-11%
2021
$1.0M
-1%
2022
$1.0M
-12%
2023
$890K
+8%
2024
$965K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 62% of total spending.

S5125Top 10%

Attendant care services, per 15 min

$5.1M

10K claims · 62.1%

Your Cost: $507.16/claim|Median: $82.34
6.2× median
G9002Top 25%

Coordinated care fee, maintenance period

$854K

4,149 claims · 10.3%

Your Cost: $205.81/claim|Median: $108.80
1.9× median
T1005Top 10%

Respite care services, per 15 minutes

$661K

2,528 claims · 8.0%

Your Cost: $261.33/claim|Median: $71.40
3.7× median
A0160Top 1%

$570K

1,765 claims · 6.9%

Your Cost: $322.93/claim|Median: $12.60
25.6× median
T2021Normal range

Day habilitation, waiver; per 15 min

$553K

2,733 claims · 6.7%

Your Cost: $202.17/claim|Median: $150.51
1.3× median
T1016Top 25%

Case management, each 15 min

$498K

2,685 claims · 6.0%

Your Cost: $185.65/claim|Median: $49.62
3.7× median
T2024Normal range

Supported employment, waiver, per diem

$645

12 claims · 0.0%

Your Cost: $53.74/claim|Median: $259.38
0.2× median
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