Provider 1518368471
NPI: 1518368471Share
Active Billing Period:2018-01→2024-12(84 months)
Total Paid
$15.2M
$15,218,619
Total Claims
132K
Beneficiaries
10K
13.2 claims/patient
Avg Cost/Claim
$115
Monthly Spending Trend
Yearly Spending
2018
$1.8M
+55%
2019
$2.9M
-43%
2020
$1.6M
+8%
2021
$1.8M
-14%
2022
$1.5M
+89%
2023
$2.9M
-8%
2024
$2.7M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (T1025 (Waiver services, NOS, per 15 minutes)) accounts for 96% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$14.6M
90K claims
$161.21
$227.80
0.7×
Normal range
T1025Normal range
Waiver services, NOS, per 15 minutes
$14.6M
90K claims · 95.9%
Your Cost: $161.21/claim|Median: $227.80
0.7× median$562K
40K claims
$13.89
$33.11
0.4×
Normal range
97530Normal range
Therapeutic activities, each 15 min
$562K
40K claims · 3.7%
Your Cost: $13.89/claim|Median: $33.11
0.4× medianT1026Normal range
Waiver services, NOS, per diem
$64K
1,105 claims · 0.4%
Your Cost: $57.96/claim|Median: $146.05
0.4× median97168Normal range
OT re-evaluation
$4K
127 claims · 0.0%
Your Cost: $28.58/claim|Median: $50.43
0.6× median