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Provider 1497815567

NPI: 1497815567Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.8M

$10,821,994

Total Claims

205K

Beneficiaries

55K

3.8 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$494K
+344%
2019
$2.2M
-20%
2020
$1.8M
+12%
2021
$2.0M
-8%
2022
$1.8M
-25%
2023
$1.3M
-4%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (S5110 (Home care training, family; per 15 min)) accounts for 32% of total spending.

S5110Normal range

Home care training, family; per 15 min

$3.5M

41K claims · 32.0%

Your Cost: $83.91/claim|Median: $74.36
1.1× median
T1016Normal range

Case management, each 15 min

$2.4M

98K claims · 22.1%

Your Cost: $24.44/claim|Median: $49.62
0.5× median
H2014Normal range

Skills training & development, per 15 min

$2.4M

32K claims · 21.9%

Your Cost: $72.92/claim|Median: $83.88
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.4M

16K claims · 13.2%

Your Cost: $90.85/claim|Median: $74.63
1.2× median
S5150Normal range

Unskilled respite care, per 15 min

$823K

11K claims · 7.6%

Your Cost: $73.38/claim|Median: $84.46
0.9× median
H0031Normal range

Mental health assessment by non-physician

$302K

2,544 claims · 2.8%

Your Cost: $118.86/claim|Median: $96.18
1.2× median
H2017Top 5%

Psychosocial rehabilitation services, per 15 min

$23K

34 claims · 0.2%

Your Cost: $682.76/claim|Median: $91.63
7.5× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$22K

2,684 claims · 0.2%

Your Cost: $8.05/claim|Median: $17.67
0.5× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$4K

259 claims · 0.0%

Your Cost: $14.44/claim|Median: $53.97
0.3× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$1K

513 claims · 0.0%

Your Cost: $2.33/claim|Median: $21.33
0.1× median
A0120Normal range

Non-emergency mini-bus transport

$705

529 claims · 0.0%

Your Cost: $1.33/claim|Median: $16.09
0.1× median