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Provider 1417252321

NPI: 1417252321Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$17.8M

$17,800,566

Total Claims

106K

Beneficiaries

12K

8.8 claims/patient

Avg Cost/Claim

$168

Monthly Spending Trend

Yearly Spending

2021
$2.0M
+119%
2022
$4.3M
+22%
2023
$5.3M
+17%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 64% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$11.4M

13K claims · 64.2%

Your Cost: $891.85/claim|Median: $321.53
2.8× median
H2014Normal range

Skills training & development, per 15 min

$2.2M

48K claims · 12.4%

Your Cost: $46.02/claim|Median: $83.88
0.5× median
M0152Normal range

$1.3M

8,078 claims · 7.5%

Your Cost: $165.73/claim|Median: $174.64
0.9× median
M0150Normal range

$968K

6,379 claims · 5.4%

Your Cost: $151.80/claim|Median: $161.06
0.9× median
T2020Normal range

Day habilitation, waiver; per diem

$538K

5,329 claims · 3.0%

Your Cost: $100.89/claim|Median: $87.34
1.2× median
M0118Normal range

$282K

7,925 claims · 1.6%

Your Cost: $35.63/claim|Median: $38.00
0.9× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$275K

2,041 claims · 1.5%

Your Cost: $134.96/claim|Median: $84.12
1.6× median
M0116Normal range

$236K

7,951 claims · 1.3%

Your Cost: $29.66/claim|Median: $32.07
0.9× median
D0120Top 1%

Periodic oral evaluation, established patient

$121K

230 claims · 0.7%

Your Cost: $526.59/claim|Median: $24.34
21.6× median
M0133Top 10%

$112K

810 claims · 0.6%

Your Cost: $137.76/claim|Median: $84.70
1.6× median
T1002Normal range

RN services, per 15 minutes

$95K

1,810 claims · 0.5%

Your Cost: $52.21/claim|Median: $37.42
1.4× median
M0117Top 25%

$51K

979 claims · 0.3%

Your Cost: $51.72/claim|Median: $47.85
1.1× median
T2025Normal range

Waiver services, NOS; per 15 min

$41K

465 claims · 0.2%

Your Cost: $88.10/claim|Median: $124.39
0.7× median
M0113Normal range

$40K

96 claims · 0.2%

Your Cost: $417.38/claim|Median: $397.30
1.1× median
M0299Normal range

$39K

794 claims · 0.2%

Your Cost: $48.85/claim|Median: $34.98
1.4× median
T1003Normal range

LPN/LVN services, per 15 minutes

$16K

1,397 claims · 0.1%

Your Cost: $11.42/claim|Median: $24.24
0.5× median
M0298Normal range

$7K

787 claims · 0.0%

Your Cost: $9.08/claim|Median: $13.85
0.7× median
M0315Normal range

$5K

150 claims · 0.0%

Your Cost: $33.57/claim|Median: $29.80
1.1× median
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