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Provider 1437215415

NPI: 1437215415Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$11.8M

$11,774,124

Total Claims

87K

Beneficiaries

8,280

10.5 claims/patient

Avg Cost/Claim

$135

Monthly Spending Trend

Yearly Spending

2021
$1.9M
+75%
2022
$3.3M
+2%
2023
$3.3M
-1%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 41% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$4.8M

2,841 claims · 41.1%

Your Cost: $1,703.27/claim|Median: $321.53
5.3× median
T2016Normal range

Habilitation, residential, waiver; per diem

$2.5M

21K claims · 21.6%

Your Cost: $122.26/claim|Median: $331.94
0.4× median
M0360Normal range

$1.1M

11K claims · 9.5%

Your Cost: $102.43/claim|Median: $102.43
1.0× median
M0123Top 1%

$881K

12K claims · 7.5%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
H2014Normal range

Skills training & development, per 15 min

$798K

21K claims · 6.8%

Your Cost: $38.85/claim|Median: $83.88
0.5× median
S5150Top 25%

Unskilled respite care, per 15 min

$418K

2,876 claims · 3.5%

Your Cost: $145.30/claim|Median: $84.46
1.7× median
M0240Normal range

$373K

2,938 claims · 3.2%

Your Cost: $127.01/claim|Median: $141.71
0.9× median
T2020Normal range

Day habilitation, waiver; per diem

$325K

3,418 claims · 2.8%

Your Cost: $95.03/claim|Median: $87.34
1.1× median
T2025Normal range

Waiver services, NOS; per 15 min

$165K

2,227 claims · 1.4%

Your Cost: $74.27/claim|Median: $124.39
0.6× median
M0116Normal range

$127K

3,975 claims · 1.1%

Your Cost: $31.83/claim|Median: $32.07
1.0× median
M0201Top 25%

$110K

3,771 claims · 0.9%

Your Cost: $29.10/claim|Median: $18.33
1.6× median
T1002Normal range

RN services, per 15 minutes

$51K

853 claims · 0.4%

Your Cost: $59.72/claim|Median: $37.42
1.6× median
M0299Top 25%

$22K

332 claims · 0.2%

Your Cost: $66.22/claim|Median: $34.98
1.9× median
M0133Normal range

$7K

81 claims · 0.1%

Your Cost: $85.91/claim|Median: $84.70
1.0× median
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