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Provider 1467810630

NPI: 1467810630Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$9.4M

$9,395,193

Total Claims

91K

Beneficiaries

6,154

14.7 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2021
$943K
+176%
2022
$2.6M
+15%
2023
$3.0M
-3%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 64% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$6.0M

47K claims · 64.0%

Your Cost: $129.35/claim|Median: $321.53
0.4× median
M0123Top 1%

$792K

10K claims · 8.4%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
T2016Normal range

Habilitation, residential, waiver; per diem

$602K

5,420 claims · 6.4%

Your Cost: $111.01/claim|Median: $331.94
0.3× median
H2014Normal range

Skills training & development, per 15 min

$546K

11K claims · 5.8%

Your Cost: $51.31/claim|Median: $83.88
0.6× median
M0125Top 1%

$350K

3,718 claims · 3.7%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$283K

3,678 claims · 3.0%

Your Cost: $77.04/claim|Median: $87.34
0.9× median
M0124Top 1%

$218K

1,829 claims · 2.3%

Your Cost: $119.18/claim|Median: $119.18
1.0× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$189K

1,281 claims · 2.0%

Your Cost: $147.58/claim|Median: $84.12
1.8× median
T1002Normal range

RN services, per 15 minutes

$103K

1,697 claims · 1.1%

Your Cost: $60.93/claim|Median: $37.42
1.6× median
M0133Top 25%

$102K

899 claims · 1.1%

Your Cost: $113.08/claim|Median: $84.70
1.3× median
M0116Normal range

$85K

2,533 claims · 0.9%

Your Cost: $33.41/claim|Median: $32.07
1.0× median
T2025Normal range

Waiver services, NOS; per 15 min

$48K

938 claims · 0.5%

Your Cost: $51.36/claim|Median: $124.39
0.4× median
M0299Top 25%

$29K

425 claims · 0.3%

Your Cost: $68.82/claim|Median: $34.98
2.0× median
M0120Normal range

$15K

327 claims · 0.2%

Your Cost: $45.43/claim|Median: $50.67
0.9× median
D0120Top 1%

Periodic oral evaluation, established patient

$11K

25 claims · 0.1%

Your Cost: $446.74/claim|Median: $24.34
18.4× median
M0298Top 25%

$6K

257 claims · 0.1%

Your Cost: $22.34/claim|Median: $13.85
1.6× median
T1003Normal range

LPN/LVN services, per 15 minutes

$1K

60 claims · 0.0%

Your Cost: $18.35/claim|Median: $24.24
0.8× median
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