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Provider 1386642965

NPI: 1386642965Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.2M

$10,214,199

Total Claims

54K

Beneficiaries

12K

4.5 claims/patient

Avg Cost/Claim

$189

Monthly Spending Trend

Yearly Spending

2018
$627K
-96%
2019
$25K
+1720%
2020
$461K
+241%
2021
$1.6M
+44%
2022
$2.3M
+23%
2023
$2.8M
-11%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T1021 (Home health aide visit, per 15 min)) accounts for 48% of total spending.

T1021Top 5%

Home health aide visit, per 15 min

$4.9M

18K claims · 47.9%

Your Cost: $270.15/claim|Median: $44.79
6.0× median
T1002Top 10%

RN services, per 15 minutes

$1.8M

6,513 claims · 17.8%

Your Cost: $278.59/claim|Median: $37.42
7.4× median
T1003Top 25%

LPN/LVN services, per 15 minutes

$1.4M

4,229 claims · 14.2%

Your Cost: $342.45/claim|Median: $24.24
14.1× median
T1019Top 25%

Personal care services, per 15 min

$1.1M

6,130 claims · 11.2%

Your Cost: $186.05/claim|Median: $82.47
2.3× median
T1001Top 5%

Nursing assessment/evaluation, per visit

$688K

1,555 claims · 6.7%

Your Cost: $442.46/claim|Median: $49.05
9.0× median
S9131Normal range

Physical therapy, in the home, per diem

$177K

2,570 claims · 1.7%

Your Cost: $68.74/claim|Median: $90.35
0.8× median
T1030Top 25%

Nursing care, in the home, by RN, per diem

$49K

440 claims · 0.5%

Your Cost: $111.08/claim|Median: $85.62
1.3× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$4K

5,892 claims · 0.0%

Your Cost: $0.68/claim|Median: $51.67
0.0× median
G0151Normal range

Physical therapy services, home health, per visit

$444

3,925 claims · 0.0%

Your Cost: $0.11/claim|Median: $67.94
0.0× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$0

1,113 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.50
G0152Normal range

Occupational therapy services, home health, per visit

$0

1,285 claims · 0.0%

Your Cost: $0.00/claim|Median: $68.93
G0157Normal range

Services of PT assistant in home health, per 15 min

$0

261 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.94
G0156Normal range

Home health aide services, per visit

$0

1,971 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42