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Provider 1528198975

NPI: 1528198975Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.1M

$9,069,809

Total Claims

41K

Beneficiaries

22K

1.9 claims/patient

Avg Cost/Claim

$223

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+21%
2019
$1.4M
+3%
2020
$1.4M
-2%
2021
$1.4M
-36%
2022
$894K
+67%
2023
$1.5M
-10%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T2025 (Waiver services, NOS; per 15 min)) accounts for 25% of total spending.

T2025Top 25%

Waiver services, NOS; per 15 min

$2.3M

7,118 claims · 25.1%

Your Cost: $319.69/claim|Median: $124.39
2.6× median
S5111Top 25%

Home care training, family member, per session

$1.8M

13K claims · 20.1%

Your Cost: $145.38/claim|Median: $87.13
1.7× median
W0500Normal range

Waiver service, state-specific code

$1.7M

12K claims · 18.3%

Your Cost: $137.95/claim|Median: $207.17
0.7× median
W0510Top 25%

$1.4M

4,831 claims · 15.9%

Your Cost: $298.96/claim|Median: $283.60
1.1× median
T2024Top 25%

Supported employment, waiver, per diem

$823K

1,814 claims · 9.1%

Your Cost: $453.47/claim|Median: $259.38
1.7× median
W0530Normal range

$673K

1,580 claims · 7.4%

Your Cost: $425.64/claim|Median: $425.64
1.0× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$215K

481 claims · 2.4%

Your Cost: $446.20/claim|Median: $106.70
4.2× median
W0520Normal range

$160K

378 claims · 1.8%

Your Cost: $422.46/claim|Median: $422.46
1.0× median
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