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Provider 1467509877

NPI: 1467509877Share
Active Billing Period:2018-012024-11(66 months)

Total Paid

$15.1M

$15,070,825

Total Claims

238K

Beneficiaries

18K

13.3 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-2%
2019
$3.0M
-49%
2020
$1.5M
+41%
2021
$2.2M
+2%
2022
$2.2M
-10%
2023
$2.0M
-40%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T1020 (Personal care services, per diem)) accounts for 48% of total spending.

T1020Normal range

Personal care services, per diem

$7.2M

48K claims · 47.7%

Your Cost: $149.38/claim|Median: $296.27
0.5× median
96153Top 5%

Health/behavior intervention, group

$2.0M

21K claims · 13.1%

Your Cost: $94.09/claim|Median: $6.67
14.1× median
96165Top 25%

Health behavior intervention, family, each additional fifteen minutes

$1.8M

25K claims · 12.1%

Your Cost: $72.63/claim|Median: $15.54
4.7× median
96159Top 25%

$1.6M

14K claims · 10.6%

Your Cost: $115.82/claim|Median: $20.68
5.6× median
T1019Normal range

Personal care services, per 15 min

$778K

17K claims · 5.2%

Your Cost: $45.59/claim|Median: $82.47
0.6× median
T2001Normal range

Non-emergency transportation, patient attendant or aide

$483K

35K claims · 3.2%

Your Cost: $13.97/claim|Median: $19.61
0.7× median
A0110Normal range

Non-emergency taxi transport

$459K

23K claims · 3.0%

Your Cost: $19.62/claim|Median: $9.27
2.1× median
96152Top 5%

Health behavior intervention, individual

$248K

1,533 claims · 1.6%

Your Cost: $161.89/claim|Median: $20.02
8.1× median
96164Normal range

$212K

26K claims · 1.4%

Your Cost: $8.11/claim|Median: $9.87
0.8× median
96158Normal range

$186K

14K claims · 1.2%

Your Cost: $12.99/claim|Median: $28.43
0.5× median
A0130Normal range

Non-emergency wheelchair van transport

$88K

6,504 claims · 0.6%

Your Cost: $13.48/claim|Median: $29.37
0.5× median
H0033Normal range

Oral medication administration, direct observation

$23K

2,002 claims · 0.2%

Your Cost: $11.69/claim|Median: $31.37
0.4× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$2K

3,452 claims · 0.0%

Your Cost: $0.72/claim|Median: $28.63
0.0× median
T5999Normal range

Transportation service, not otherwise classified

$2K

728 claims · 0.0%

Your Cost: $3.31/claim|Median: $8.13
0.4× median