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Provider 1518391614

NPI: 1518391614Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$8.5M

$8,513,022

Total Claims

64K

Beneficiaries

5,877

10.8 claims/patient

Avg Cost/Claim

$134

Monthly Spending Trend

Yearly Spending

2021
$954K
+117%
2022
$2.1M
+34%
2023
$2.8M
-2%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 42% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$3.6M

1,683 claims · 41.7%

Your Cost: $2,109.43/claim|Median: $321.53
6.6× median
T2016Normal range

Habilitation, residential, waiver; per diem

$2.2M

18K claims · 26.2%

Your Cost: $120.62/claim|Median: $331.94
0.4× median
M0360Top 25%

$690K

5,791 claims · 8.1%

Your Cost: $119.07/claim|Median: $102.43
1.2× median
H2014Normal range

Skills training & development, per 15 min

$640K

17K claims · 7.5%

Your Cost: $36.73/claim|Median: $83.88
0.4× median
M0123Top 1%

$510K

6,704 claims · 6.0%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
S5150Normal range

Unskilled respite care, per 15 min

$238K

2,088 claims · 2.8%

Your Cost: $114.00/claim|Median: $84.46
1.3× median
T2020Normal range

Day habilitation, waiver; per diem

$190K

3,614 claims · 2.2%

Your Cost: $52.47/claim|Median: $87.34
0.6× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$155K

1,904 claims · 1.8%

Your Cost: $81.63/claim|Median: $84.12
1.0× median
T2025Normal range

Waiver services, NOS; per 15 min

$108K

1,322 claims · 1.3%

Your Cost: $82.03/claim|Median: $124.39
0.7× median
M0116Normal range

$98K

3,022 claims · 1.2%

Your Cost: $32.46/claim|Median: $32.07
1.0× median
M0240Normal range

$35K

286 claims · 0.4%

Your Cost: $123.36/claim|Median: $141.71
0.9× median
M0201Normal range

$21K

742 claims · 0.2%

Your Cost: $28.37/claim|Median: $18.33
1.5× median
M0171Top 10%

$17K

220 claims · 0.2%

Your Cost: $79.41/claim|Median: $73.78
1.1× median
M0133Normal range

$16K

246 claims · 0.2%

Your Cost: $65.47/claim|Median: $84.70
0.8× median
T1002Top 25%

RN services, per 15 minutes

$6K

76 claims · 0.1%

Your Cost: $77.93/claim|Median: $37.42
2.1× median
D0120Top 1%

Periodic oral evaluation, established patient

$4K

14 claims · 0.1%

Your Cost: $312.77/claim|Median: $24.34
12.9× median
M0299Normal range

$1K

32 claims · 0.0%

Your Cost: $46.10/claim|Median: $34.98
1.3× median
M0315Normal range

$353

12 claims · 0.0%

Your Cost: $29.41/claim|Median: $29.80
1.0× median
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