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Provider 1407208028

NPI: 1407208028Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$15.0M

$15,023,207

Total Claims

42K

Beneficiaries

8,448

5.0 claims/patient

Avg Cost/Claim

$358

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+43%
2019
$3.0M
-40%
2020
$1.8M
+12%
2021
$2.0M
+25%
2022
$2.5M
-4%
2023
$2.4M
-45%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 98% of total spending.

T2046Normal range

Habilitation, residential, waiver; per month

$14.7M

11K claims · 97.7%

Your Cost: $1,318.48/claim|Median: $1,795.74
0.7× median
T2042Normal range

Financial management, self-directed, waiver, per month

$345K

863 claims · 2.3%

Your Cost: $399.64/claim|Median: $188.03
2.1× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$2K

7,199 claims · 0.0%

Your Cost: $0.32/claim|Median: $51.67
0.0× median
HH250

$0

32 claims · 0.0%

Q5004Normal range

$0

69 claims · 0.0%

Your Cost: $0.00/claim|Median: $127.12
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$0

124 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.50
G0155Normal range

Services of clinical social worker in home health, per 15 min

$0

1,455 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.04
G0156Normal range

Home health aide services, per visit

$0

20K claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42
Q5003Normal range

Injection, infliximab-dyyb, biosimilar, 10 mg

$0

1,030 claims · 0.0%

Your Cost: $0.00/claim|Median: $177.99
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