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Provider 1508911348

NPI: 1508911348Share
Active Billing Period:2020-12→2024-12(49 months)

Total Paid

$9.7M

$9,653,660

Total Claims

46K

Beneficiaries

4,376

10.4 claims/patient

Avg Cost/Claim

$211

Monthly Spending Trend

Yearly Spending

2020
$35K
+3714%
2021
$1.3M
+117%
2022
$2.9M
-4%
2023
$2.7M
-1%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 68% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$6.6M

5,775 claims · 68.3%

Your Cost: $1,141.66/claim|Median: $321.53
3.6× median
M0167Top 25%

$1.1M

6,866 claims · 11.5%

Your Cost: $162.03/claim|Median: $158.84
1.0× median
M0169Top 1%

$638K

3,595 claims · 6.6%

Your Cost: $177.38/claim|Median: $165.94
1.1× median
H2014Normal range

Skills training & development, per 15 min

$589K

13K claims · 6.1%

Your Cost: $46.17/claim|Median: $83.88
0.6× median
T2020Top 25%

Day habilitation, waiver; per diem

$274K

1,696 claims · 2.8%

Your Cost: $161.33/claim|Median: $87.34
1.8× median
M0116Normal range

$230K

8,335 claims · 2.4%

Your Cost: $27.63/claim|Median: $32.07
0.9× median
M0118Normal range

$177K

5,354 claims · 1.8%

Your Cost: $32.97/claim|Median: $38.00
0.9× median
T1002Normal range

RN services, per 15 minutes

$24K

636 claims · 0.3%

Your Cost: $38.00/claim|Median: $37.42
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$10K

29 claims · 0.1%

Your Cost: $354.13/claim|Median: $24.34
14.5× median
T1003Normal range

LPN/LVN services, per 15 minutes

$5K

469 claims · 0.0%

Your Cost: $10.22/claim|Median: $24.24
0.4× median
M0299Normal range

$814

72 claims · 0.0%

Your Cost: $11.30/claim|Median: $34.98
0.3× median
M0298Normal range

$653

73 claims · 0.0%

Your Cost: $8.95/claim|Median: $13.85
0.6× median
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