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Provider 1447396833

NPI: 1447396833Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.9M

$14,943,202

Total Claims

77K

Beneficiaries

62K

1.2 claims/patient

Avg Cost/Claim

$195

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+180%
2019
$5.2M
-18%
2020
$4.3M
-70%
2021
$1.3M
-41%
2022
$757K
+13%
2023
$855K
-14%
2024
$739K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 75% of total spending.

T1017Top 5%

Targeted case management, per 15 min

$11.2M

35K claims · 75.0%

Your Cost: $321.14/claim|Median: $69.56
4.6× median
T2023Normal range

Community transition, waiver; per service

$1.9M

14K claims · 12.8%

Your Cost: $132.67/claim|Median: $300.13
0.4× median
H1002Top 1%

$1.1M

3,388 claims · 7.3%

Your Cost: $323.03/claim|Median: $23.28
13.9× median
T1002Normal range

RN services, per 15 minutes

$268K

9,218 claims · 1.8%

Your Cost: $29.09/claim|Median: $37.42
0.8× median
H0031Normal range

Mental health assessment by non-physician

$151K

1,717 claims · 1.0%

Your Cost: $88.17/claim|Median: $96.18
0.9× median
H0025Normal range

Behavioral health prevention education, per session

$100K

4,591 claims · 0.7%

Your Cost: $21.69/claim|Median: $36.25
0.6× median
T1001Normal range

Nursing assessment/evaluation, per visit

$60K

2,044 claims · 0.4%

Your Cost: $29.47/claim|Median: $49.05
0.6× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$49K

2,097 claims · 0.3%

Your Cost: $23.46/claim|Median: $12.70
1.8× median
S9470Normal range

Nutritional counseling

$39K

1,892 claims · 0.3%

Your Cost: $20.86/claim|Median: $16.62
1.3× median
99501Normal range

$36K

523 claims · 0.2%

Your Cost: $68.00/claim|Median: $76.03
0.9× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$23K

1,802 claims · 0.2%

Your Cost: $12.58/claim|Median: $106.70
0.1× median
99502Normal range

$5K

84 claims · 0.0%

Your Cost: $54.24/claim|Median: $59.00
0.9× median
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