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

Provider 1457711160

NPI: 1457711160Share
Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 76% of $17.0M billed through just 2 codes

Total Paid

$17.0M

$17,012,047

Total Claims

211K

Beneficiaries

11K

19.5 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-1%
2019
$2.7M
-6%
2020
$2.5M
+2%
2021
$2.6M
-13%
2022
$2.3M
-9%
2023
$2.1M
-0%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (S5102 (Day care services, adult; per 15 min)) accounts for 76% of total spending.

S5102Normal range

Day care services, adult; per 15 min

$13.0M

149K claims · 76.5%

Your Cost: $87.03/claim|Median: $81.10
1.1× median
W5102Normal range

Waiver service, state-specific code

$4.0M

61K claims · 23.5%

Your Cost: $65.57/claim|Median: $62.73
1.0× median