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Provider 1386789840

NPI: 1386789840Share
Active Billing Period:2018-012024-10(82 months)

Total Paid

$9.2M

$9,220,653

Total Claims

160K

Beneficiaries

129K

1.2 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$901K
+17%
2019
$1.1M
+15%
2020
$1.2M
+13%
2021
$1.4M
+2%
2022
$1.4M
+23%
2023
$1.7M
-8%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 69% of total spending.

T2022Normal range

Case management, per month

$6.3M

122K claims · 68.5%

Your Cost: $51.89/claim|Median: $202.77
0.3× median
99456Top 25%

$1.3M

7,987 claims · 14.3%

Your Cost: $165.46/claim|Median: $151.24
1.1× median
S5130Normal range

Homemaker service, NOS; per 15 min

$483K

7,844 claims · 5.2%

Your Cost: $61.63/claim|Median: $48.76
1.3× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$418K

3,786 claims · 4.5%

Your Cost: $110.53/claim|Median: $106.70
1.0× median
S5170Normal range

Homemaker service, NOS, per diem

$300K

7,191 claims · 3.3%

Your Cost: $41.71/claim|Median: $19.89
2.1× median
T1019Normal range

Personal care services, per 15 min

$222K

4,179 claims · 2.4%

Your Cost: $53.12/claim|Median: $82.47
0.6× median
H0046Normal range

Mental health services, not otherwise specified

$46K

1,136 claims · 0.5%

Your Cost: $40.45/claim|Median: $85.02
0.5× median
S5102Normal range

Day care services, adult; per 15 min

$40K

843 claims · 0.4%

Your Cost: $47.30/claim|Median: $81.10
0.6× median
T2003Top 25%

Non-emergency transport; encounter/trip

$37K

648 claims · 0.4%

Your Cost: $57.77/claim|Median: $21.70
2.7× median
S5161Normal range

Emergency response system, per month

$17K

607 claims · 0.2%

Your Cost: $28.25/claim|Median: $29.97
0.9× median
S5175Top 25%

Laundry service, per occasion

$8K

176 claims · 0.1%

Your Cost: $43.89/claim|Median: $30.40
1.4× median
T1020Normal range

Personal care services, per diem

$7K

4,036 claims · 0.1%

Your Cost: $1.65/claim|Median: $296.27
0.0× median