OPTIMAL SERVICES, INC.
Active Billing Period:2018-01→2024-12(82 months)
Extreme procedure concentration — 80% of $19.6M billed through just 2 codes
Total Paid
$19.6M
$19,579,295
Total Claims
68K
Beneficiaries
4,558
14.9 claims/patient
Avg Cost/Claim
$288
Monthly Spending Trend
Yearly Spending
2018
$4.5M
-28%
2019
$3.2M
-40%
2020
$1.9M
+20%
2021
$2.3M
-27%
2022
$1.7M
+93%
2023
$3.2M
-12%
2024
$2.8M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 2 distinct procedure codes. The top code (T1026 (Waiver services, NOS, per diem)) accounts for 80% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
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