Active Billing Period:2018-01→2024-12(84 months)
Extreme procedure concentration — 76% of $22.2M billed through just 2 codes
Total Paid
$22.2M
$22,207,727
Total Claims
280K
Beneficiaries
12K
23.5 claims/patient
Avg Cost/Claim
$79
Monthly Spending Trend
Yearly Spending
2018
$2.7M
+2%
2019
$2.8M
+5%
2020
$2.9M
+12%
2021
$3.3M
+6%
2022
$3.5M
-2%
2023
$3.4M
+4%
2024
$3.5M
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.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$16.8M
193K claims
$87.26
$81.10
1.1×
Normal range
S5102Normal range
Day care services, adult; per 15 min
$16.8M
193K claims · 75.8%
Your Cost: $87.26/claim|Median: $81.10
1.1× median$5.4M
87K claims
$61.50
$62.73
1.0×
Normal range
W5102Normal range
Waiver service, state-specific code
$5.4M
87K claims · 24.2%
Your Cost: $61.50/claim|Median: $62.73
1.0× median