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Provider 1376695320

NPI: 1376695320Share
Active Billing Period:2018-01→2024-11(69 months)

Total Paid

$14.0M

$14,013,878

Total Claims

209K

Beneficiaries

19K

11.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+2%
2019
$2.1M
-39%
2020
$1.3M
+50%
2021
$1.9M
+15%
2022
$2.2M
+8%
2023
$2.4M
-21%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 29% of total spending.

T1019Normal range

Personal care services, per 15 min

$4.0M

37K claims · 28.7%

Your Cost: $109.57/claim|Median: $82.47
1.3× median
96159Top 5%

$2.8M

16K claims · 20.1%

Your Cost: $175.39/claim|Median: $20.68
8.5× median
96165Top 10%

Health behavior intervention, family, each additional fifteen minutes

$2.3M

26K claims · 16.4%

Your Cost: $87.99/claim|Median: $15.54
5.7× median
96152Top 5%

Health behavior intervention, individual

$1.1M

5,666 claims · 8.1%

Your Cost: $200.25/claim|Median: $20.02
10.0× median
96153Top 5%

Health/behavior intervention, group

$1000K

12K claims · 7.1%

Your Cost: $82.04/claim|Median: $6.67
12.3× median
A0110Top 10%

Non-emergency taxi transport

$785K

22K claims · 5.6%

Your Cost: $36.20/claim|Median: $9.27
3.9× median
A0130Normal range

Non-emergency wheelchair van transport

$510K

15K claims · 3.6%

Your Cost: $35.17/claim|Median: $29.37
1.2× median
T2001Normal range

Non-emergency transportation, patient attendant or aide

$438K

25K claims · 3.1%

Your Cost: $17.62/claim|Median: $19.61
0.9× median
96164Normal range

$352K

29K claims · 2.5%

Your Cost: $12.28/claim|Median: $9.87
1.2× median
96158Normal range

$327K

17K claims · 2.3%

Your Cost: $19.44/claim|Median: $28.43
0.7× median
T1020Top 25%

Personal care services, per diem

$319K

543 claims · 2.3%

Your Cost: $586.66/claim|Median: $296.27
2.0× median
A0120Normal range

Non-emergency mini-bus transport

$9K

3,134 claims · 0.1%

Your Cost: $2.75/claim|Median: $16.09
0.2× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$5K

2,009 claims · 0.0%

Your Cost: $2.58/claim|Median: $28.63
0.1× median
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