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Provider 1407140387

NPI: 1407140387Share
Active Billing Period:2018-012024-11(83 months)

Extreme procedure concentration — 86% of $17.3M billed through just 2 codes

Total Paid

$17.3M

$17,275,750

Total Claims

5,816

Beneficiaries

4,159

1.4 claims/patient

Avg Cost/Claim

$3K

Monthly Spending Trend

Yearly Spending

2018
$897K
+212%
2019
$2.8M
-26%
2020
$2.1M
+40%
2021
$2.9M
-6%
2022
$2.7M
+30%
2023
$3.6M
-35%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 86% of total spending.

T2046Top 25%

Habilitation, residential, waiver; per month

$14.8M

4,925 claims · 85.9%

Your Cost: $3,013.32/claim|Median: $1,795.74
1.7× median
S9126Top 25%

Hospice care, in the home, per diem

$2.4M

891 claims · 14.1%

Your Cost: $2,733.04/claim|Median: $438.57
6.2× median