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Provider 1447396916

NPI: 1447396916Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$8.7M

$8,734,449

Total Claims

52K

Beneficiaries

5,115

10.1 claims/patient

Avg Cost/Claim

$169

Monthly Spending Trend

Yearly Spending

2021
$1.1M
+142%
2022
$2.7M
-1%
2023
$2.7M
-17%
2024
$2.2M

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 68% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$6.0M

8,811 claims · 68.3%

Your Cost: $676.80/claim|Median: $321.53
2.1× median
H2014Normal range

Skills training & development, per 15 min

$688K

15K claims · 7.9%

Your Cost: $45.67/claim|Median: $83.88
0.5× median
M0150Normal range

$627K

4,114 claims · 7.2%

Your Cost: $152.32/claim|Median: $161.06
0.9× median
M0123Top 1%

$525K

6,890 claims · 6.0%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0122Top 1%

$301K

4,146 claims · 3.4%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$209K

1,633 claims · 2.4%

Your Cost: $127.84/claim|Median: $87.34
1.5× median
M0116Normal range

$173K

5,439 claims · 2.0%

Your Cost: $31.78/claim|Median: $32.07
1.0× median
T1002Normal range

RN services, per 15 minutes

$117K

2,142 claims · 1.3%

Your Cost: $54.39/claim|Median: $37.42
1.5× median
M0299Normal range

$52K

1,390 claims · 0.6%

Your Cost: $37.21/claim|Median: $34.98
1.1× median
M0115Normal range

$49K

1,684 claims · 0.6%

Your Cost: $29.14/claim|Median: $29.58
1.0× median
M0113Normal range

$9K

27 claims · 0.1%

Your Cost: $350.45/claim|Median: $397.30
0.9× median
M0133Normal range

$7K

94 claims · 0.1%

Your Cost: $78.05/claim|Median: $84.70
0.9× median
M0101Top 25%

$6K

47 claims · 0.1%

Your Cost: $133.03/claim|Median: $65.66
2.0× median
S8990Normal range

$5K

73 claims · 0.1%

Your Cost: $64.49/claim|Median: $78.36
0.8× median
M0131Normal range

$3K

51 claims · 0.0%

Your Cost: $58.65/claim|Median: $72.01
0.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$1K

23 claims · 0.0%

Your Cost: $49.27/claim|Median: $84.12
0.6× median
M0315Top 25%

$472

12 claims · 0.0%

Your Cost: $39.37/claim|Median: $29.80
1.3× median
M0248Top 25%

$299

32 claims · 0.0%

Your Cost: $9.35/claim|Median: $5.31
1.8× median
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