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Provider 1437275690

NPI: 1437275690Share
Active Billing Period:2018-01→2020-02(26 months)
Billing appears to have stoppedLast active: 2020-02

Total Paid

$8.5M

$8,507,620

Total Claims

41K

Beneficiaries

19K

2.2 claims/patient

Avg Cost/Claim

$207

Monthly Spending Trend

Yearly Spending

2018
$4.4M
-16%
2019
$3.7M
-88%
2020
$429K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 47% of total spending.

T2016Top 25%

Habilitation, residential, waiver; per diem

$4.0M

1,121 claims · 47.2%

Your Cost: $3,585.70/claim|Median: $331.94
10.8× median
T2021Normal range

Day habilitation, waiver; per 15 min

$1.4M

11K claims · 16.5%

Your Cost: $124.91/claim|Median: $150.51
0.8× median
T1017Normal range

Targeted case management, per 15 min

$1.2M

9,177 claims · 14.1%

Your Cost: $130.60/claim|Median: $69.56
1.9× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$482K

4,901 claims · 5.7%

Your Cost: $98.45/claim|Median: $88.91
1.1× median
S5130Top 10%

Homemaker service, NOS; per 15 min

$470K

1,615 claims · 5.5%

Your Cost: $290.73/claim|Median: $48.76
6.0× median
T2003Normal range

Non-emergency transport; encounter/trip

$328K

9,396 claims · 3.9%

Your Cost: $34.93/claim|Median: $21.70
1.6× median
97124Top 5%

$263K

902 claims · 3.1%

Your Cost: $291.83/claim|Median: $17.78
16.4× median
G0176Top 25%

Activity therapy (group), per session

$164K

760 claims · 1.9%

Your Cost: $215.81/claim|Median: $85.09
2.5× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$69K

267 claims · 0.8%

Your Cost: $258.48/claim|Median: $84.12
3.1× median
T2004Normal range

Non-emergency transportation, commercial carrier, encounter trip

$39K

946 claims · 0.5%

Your Cost: $41.44/claim|Median: $8.80
4.7× median
T2028Normal range

Specialized supply, NOS; per unit

$35K

682 claims · 0.4%

Your Cost: $51.56/claim|Median: $79.30
0.7× median
S8940Top 25%

$35K

169 claims · 0.4%

Your Cost: $204.76/claim|Median: $95.40
2.1× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$1K

14 claims · 0.0%

Your Cost: $84.44/claim|Median: $141.34
0.6× median
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