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Provider 1396862975

NPI: 1396862975Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,297,609

Total Claims

221K

Beneficiaries

13K

16.6 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+11%
2019
$1.3M
+53%
2020
$2.0M
+76%
2021
$3.5M
-5%
2022
$3.3M
-25%
2023
$2.5M
+4%
2024
$2.6M

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 61% of total spending.

S5125Normal range

Attendant care services, per 15 min

$9.9M

170K claims · 61.0%

Your Cost: $58.53/claim|Median: $82.34
0.7× median
T2026Normal range

Specialized transportation, waiver, per trip

$4.2M

19K claims · 25.7%

Your Cost: $219.49/claim|Median: $170.05
1.3× median
H2032Top 25%

Activity therapy, per 15 minutes

$1.1M

4,920 claims · 6.6%

Your Cost: $217.55/claim|Median: $108.23
2.0× median
97124Top 10%

$600K

6,048 claims · 3.7%

Your Cost: $99.20/claim|Median: $17.78
5.6× median
G0648Normal range

$251K

17K claims · 1.5%

Your Cost: $14.75/claim|Median: $13.92
1.1× median
G0176Normal range

Activity therapy (group), per session

$140K

1,517 claims · 0.9%

Your Cost: $92.13/claim|Median: $85.09
1.1× median
T1005Normal range

Respite care services, per 15 minutes

$108K

2,766 claims · 0.7%

Your Cost: $39.05/claim|Median: $71.40
0.5× median
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