Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1457316770

NPI: 1457316770Share
Active Billing Period:2018-012024-10(82 months)

Total Paid

$7.7M

$7,678,085

Total Claims

60K

Beneficiaries

4,283

13.9 claims/patient

Avg Cost/Claim

$129

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-9%
2019
$1.3M
-14%
2020
$1.1M
-23%
2021
$844K
+40%
2022
$1.2M
-18%
2023
$975K
-10%
2024
$881K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 99% of total spending.

T2046Normal range

Habilitation, residential, waiver; per month

$7.6M

34K claims · 99.3%

Your Cost: $224.81/claim|Median: $1,795.74
0.1× median
T2042Normal range

Financial management, self-directed, waiver, per month

$50K

214 claims · 0.7%

Your Cost: $233.49/claim|Median: $188.03
1.2× median
Q5004Normal range

$0

7,082 claims · 0.0%

Your Cost: $0.00/claim|Median: $127.12

$0

1,238 claims · 0.0%

G0299Normal range

Skilled nursing services, home health, per visit, RN

$0

5,034 claims · 0.0%

Your Cost: $0.00/claim|Median: $51.67
G0156Normal range

Home health aide services, per visit

$0

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.50
G0155Normal range

Services of clinical social worker in home health, per 15 min

$0

1,138 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.04