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Provider 1437160058

NPI: 1437160058Share
Active Billing Period:2018-012024-08(80 months)

Extreme procedure concentration — 64% of $14.1M billed through just 2 codes

Total Paid

$14.1M

$14,104,979

Total Claims

4,667

Beneficiaries

3,482

1.3 claims/patient

Avg Cost/Claim

$3K

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+8%
2019
$2.2M
+12%
2020
$2.4M
-8%
2021
$2.2M
-23%
2022
$1.7M
+22%
2023
$2.1M
-28%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 64% of total spending.

T2046Top 25%

Habilitation, residential, waiver; per month

$9.0M

2,830 claims · 63.6%

Your Cost: $3,169.24/claim|Median: $1,795.74
1.8× median
S9126Top 25%

Hospice care, in the home, per diem

$5.1M

1,837 claims · 36.4%

Your Cost: $2,795.88/claim|Median: $438.57
6.4× median