Active Billing Period:2019-04→2024-11(55 months)
Total Paid
$19.6M
$19,562,514
Total Claims
5,042
Beneficiaries
4,648
1.1 claims/patient
Avg Cost/Claim
$4K
Monthly Spending Trend
Yearly Spending
2019
$370K
+52%
2020
$563K
+537%
2021
$3.6M
+35%
2022
$4.8M
+42%
2023
$6.8M
-51%
2024
$3.4M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (S5165 (Home modifications, per service)) accounts for 73% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$14.3M
3,487 claims
$4,113.98
$2,196.32
1.9×
Top 25%
S5165Top 25%
Home modifications, per service
$14.3M
3,487 claims · 73.3%
Your Cost: $4,113.98/claim|Median: $2,196.32
1.9× median$4.7M
1,387 claims
$3,367.84
$141.34
23.8×
Top 1%
T2029Top 1%
Specialized transportation, waiver, per mile, extra
$4.7M
1,387 claims · 23.9%
Your Cost: $3,367.84/claim|Median: $141.34
23.8× medianT2028Top 1%
Specialized supply, NOS; per unit
$546K
168 claims · 2.8%
Your Cost: $3,249.18/claim|Median: $79.30
41.0× median