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Provider 1477638435

NPI: 1477638435Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.7M

$16,735,685

Total Claims

172K

Beneficiaries

18K

9.5 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+19%
2019
$3.4M
-36%
2020
$2.1M
+8%
2021
$2.3M
-9%
2022
$2.1M
-6%
2023
$2.0M
-3%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (H2023 (Supported employment, per 15 min)) accounts for 56% of total spending.

H2023Normal range

Supported employment, per 15 min

$9.4M

85K claims · 56.4%

Your Cost: $110.83/claim|Median: $103.94
1.1× median
H2014Normal range

Skills training & development, per 15 min

$4.3M

67K claims · 25.5%

Your Cost: $63.64/claim|Median: $83.88
0.8× median
T1016Top 10%

Case management, each 15 min

$1.5M

5,277 claims · 8.7%

Your Cost: $277.35/claim|Median: $49.62
5.6× median
T1017Top 10%

Targeted case management, per 15 min

$1.0M

3,598 claims · 6.0%

Your Cost: $280.52/claim|Median: $69.56
4.0× median
A0120Normal range

Non-emergency mini-bus transport

$306K

8,855 claims · 1.8%

Your Cost: $34.59/claim|Median: $16.09
2.1× median
H0032Top 25%

Mental health service plan development

$218K

1,570 claims · 1.3%

Your Cost: $138.79/claim|Median: $80.64
1.7× median
H0031Top 25%

Mental health assessment by non-physician

$27K

124 claims · 0.2%

Your Cost: $213.99/claim|Median: $96.18
2.2× median
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