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Provider 1417156100

NPI: 1417156100Share
Active Billing Period:2020-09→2024-12(51 months)

Total Paid

$15.1M

$15,100,365

Total Claims

128K

Beneficiaries

16K

8.0 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2020
$4K
+44540%
2021
$1.6M
+167%
2022
$4.2M
+9%
2023
$4.6M
+1%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 61% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$9.2M

31K claims · 61.2%

Your Cost: $302.06/claim|Median: $321.53
0.9× median
H2014Normal range

Skills training & development, per 15 min

$1.3M

26K claims · 8.5%

Your Cost: $49.94/claim|Median: $83.88
0.6× median
M0150Top 25%

$851K

5,259 claims · 5.6%

Your Cost: $161.83/claim|Median: $161.06
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$584K

4,354 claims · 3.9%

Your Cost: $134.23/claim|Median: $87.34
1.5× median
M0123Top 1%

$513K

6,735 claims · 3.4%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
S8990Normal range

$467K

6,057 claims · 3.1%

Your Cost: $77.12/claim|Median: $78.36
1.0× median
T2025Normal range

Waiver services, NOS; per 15 min

$331K

4,833 claims · 2.2%

Your Cost: $68.43/claim|Median: $124.39
0.6× median
M0116Top 25%

$267K

7,828 claims · 1.8%

Your Cost: $34.11/claim|Median: $32.07
1.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$219K

1,731 claims · 1.4%

Your Cost: $126.45/claim|Median: $84.12
1.5× median
T1002Normal range

RN services, per 15 minutes

$198K

8,602 claims · 1.3%

Your Cost: $23.01/claim|Median: $37.42
0.6× median
M0117Top 25%

$186K

3,744 claims · 1.2%

Your Cost: $49.63/claim|Median: $47.85
1.0× median
M0118Normal range

$169K

4,331 claims · 1.1%

Your Cost: $39.00/claim|Median: $38.00
1.0× median
M0171Normal range

$156K

2,121 claims · 1.0%

Your Cost: $73.66/claim|Median: $73.78
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$130K

373 claims · 0.9%

Your Cost: $348.41/claim|Median: $24.34
14.3× median
M0122Top 1%

$109K

1,502 claims · 0.7%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0133Top 25%

$76K

608 claims · 0.5%

Your Cost: $125.25/claim|Median: $84.70
1.5× median
M0135Normal range

$65K

820 claims · 0.4%

Your Cost: $78.92/claim|Median: $79.23
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$59K

4,928 claims · 0.4%

Your Cost: $11.89/claim|Median: $24.24
0.5× median
M0299Normal range

$56K

2,116 claims · 0.4%

Your Cost: $26.34/claim|Median: $34.98
0.8× median
M0298Normal range

$35K

3,040 claims · 0.2%

Your Cost: $11.62/claim|Median: $13.85
0.8× median
A9153Normal range

$32K

562 claims · 0.2%

Your Cost: $56.66/claim|Median: $45.63
1.2× median
M0113Normal range

$31K

89 claims · 0.2%

Your Cost: $353.86/claim|Median: $397.30
0.9× median
M0101Normal range

$25K

499 claims · 0.2%

Your Cost: $49.59/claim|Median: $65.66
0.8× median
M0315Normal range

$11K

393 claims · 0.1%

Your Cost: $28.32/claim|Median: $29.80
1.0× median
M0248Normal range

$4K

977 claims · 0.0%

Your Cost: $4.36/claim|Median: $5.31
0.8× median
S5199Normal range

Personal care item, NOS, each

$1K

27 claims · 0.0%

Your Cost: $50.04/claim|Median: $10.82
4.6× median
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