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Provider 1417011396

NPI: 1417011396Share
Active Billing Period:2020-11→2024-12(50 months)

Total Paid

$12.5M

$12,543,439

Total Claims

103K

Beneficiaries

10K

10.1 claims/patient

Avg Cost/Claim

$122

Monthly Spending Trend

Yearly Spending

2020
$43K
+4244%
2021
$1.9M
+69%
2022
$3.2M
+17%
2023
$3.7M
+3%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 54% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$6.8M

18K claims · 54.1%

Your Cost: $373.60/claim|Median: $321.53
1.2× median
T2016Normal range

Habilitation, residential, waiver; per diem

$1.5M

13K claims · 12.2%

Your Cost: $113.49/claim|Median: $331.94
0.3× median
H2014Normal range

Skills training & development, per 15 min

$945K

21K claims · 7.5%

Your Cost: $45.91/claim|Median: $83.88
0.5× median
M0122Top 1%

$573K

7,903 claims · 4.6%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0123Top 1%

$536K

7,040 claims · 4.3%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0360Top 25%

$440K

3,710 claims · 3.5%

Your Cost: $118.54/claim|Median: $102.43
1.2× median
T2020Normal range

Day habilitation, waiver; per diem

$388K

3,540 claims · 3.1%

Your Cost: $109.59/claim|Median: $87.34
1.3× median
S5125Normal range

Attendant care services, per 15 min

$342K

5,074 claims · 2.7%

Your Cost: $67.41/claim|Median: $82.34
0.8× median
M0354Top 25%

$217K

1,761 claims · 1.7%

Your Cost: $123.35/claim|Median: $90.61
1.4× median
M0116Top 25%

$188K

5,497 claims · 1.5%

Your Cost: $34.13/claim|Median: $32.07
1.1× median
M0115Normal range

$171K

5,529 claims · 1.4%

Your Cost: $30.87/claim|Median: $29.58
1.0× median
M0240Normal range

$83K

727 claims · 0.7%

Your Cost: $114.33/claim|Median: $141.71
0.8× median
T1002Normal range

RN services, per 15 minutes

$68K

2,996 claims · 0.5%

Your Cost: $22.82/claim|Median: $37.42
0.6× median
D0120Top 1%

Periodic oral evaluation, established patient

$58K

125 claims · 0.5%

Your Cost: $466.83/claim|Median: $24.34
19.2× median
M0299Normal range

$45K

1,538 claims · 0.4%

Your Cost: $29.21/claim|Median: $34.98
0.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$44K

482 claims · 0.4%

Your Cost: $91.25/claim|Median: $84.12
1.1× median
M0372Top 25%

$31K

1,408 claims · 0.2%

Your Cost: $21.91/claim|Median: $13.55
1.6× median
M0133Normal range

$31K

468 claims · 0.2%

Your Cost: $65.51/claim|Median: $84.70
0.8× median
S5150Normal range

Unskilled respite care, per 15 min

$26K

214 claims · 0.2%

Your Cost: $119.68/claim|Median: $84.46
1.4× median
M0419Top 25%

$20K

1,156 claims · 0.2%

Your Cost: $17.67/claim|Median: $12.20
1.4× median
M0298Top 25%

$10K

499 claims · 0.1%

Your Cost: $19.23/claim|Median: $13.85
1.4× median
T1003Normal range

LPN/LVN services, per 15 minutes

$9K

717 claims · 0.1%

Your Cost: $11.90/claim|Median: $24.24
0.5× median
M0113Normal range

$7K

16 claims · 0.1%

Your Cost: $468.31/claim|Median: $397.30
1.2× median
M0315Normal range

$534

15 claims · 0.0%

Your Cost: $35.60/claim|Median: $29.80
1.2× median
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