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Provider 1518415736

NPI: 1518415736Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$15.5M

$15,460,978

Total Claims

60K

Beneficiaries

3,980

15.2 claims/patient

Avg Cost/Claim

$256

Monthly Spending Trend

Yearly Spending

2018
$526K
+189%
2019
$1.5M
-74%
2020
$395K
+361%
2021
$1.8M
+96%
2022
$3.6M
+21%
2023
$4.3M
-23%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T1020 (Personal care services, per diem)) accounts for 81% of total spending.

T1020Normal range

Personal care services, per diem

$12.5M

45K claims · 81.0%

Your Cost: $279.81/claim|Median: $296.27
0.9× median
T1017Top 5%

Targeted case management, per 15 min

$1.1M

3,063 claims · 6.9%

Your Cost: $346.32/claim|Median: $69.56
5.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$813K

9,460 claims · 5.3%

Your Cost: $85.91/claim|Median: $96.24
0.9× median
T2031Normal range

Waiver services, not otherwise specified

$500K

1,382 claims · 3.2%

Your Cost: $362.02/claim|Median: $853.15
0.4× median
H2032Top 25%

Activity therapy, per 15 minutes

$289K

1,495 claims · 1.9%

Your Cost: $193.11/claim|Median: $108.23
1.8× median
T2038Normal range

Community transition, waiver; per service

$282K

333 claims · 1.8%

Your Cost: $847.08/claim|Median: $531.12
1.6× median
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