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Provider 1538168950

NPI: 1538168950Share
Active Billing Period:2018-01→2024-08(80 months)

Total Paid

$13.1M

$13,140,343

Total Claims

66K

Beneficiaries

5,019

13.2 claims/patient

Avg Cost/Claim

$198

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-6%
2019
$1.2M
+83%
2020
$2.3M
-7%
2021
$2.1M
+16%
2022
$2.5M
-15%
2023
$2.1M
-23%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (0659 (Revenue code, clinic services)) accounts for 52% of total spending.

0659Normal range

Revenue code, clinic services

$6.9M

37K claims · 52.2%

Your Cost: $184.76/claim|Median: $421.95
0.4× median
0650Normal range

$4.6M

19K claims · 35.3%

Your Cost: $240.35/claim|Median: $453.45
0.5× median
0658Normal range

Revenue code, pharmacy, generic drugs

$696K

148 claims · 5.3%

Your Cost: $4,700.55/claim|Median: $4,158.95
1.1× median
0651Normal range

$586K

2,900 claims · 4.5%

Your Cost: $202.00/claim|Median: $210.85
1.0× median
T2046Top 1%

Habilitation, residential, waiver; per month

$248K

48 claims · 1.9%

Your Cost: $5,170.13/claim|Median: $1,795.74
2.9× median
T2045Top 25%

$57K

46 claims · 0.4%

Your Cost: $1,228.86/claim|Median: $974.51
1.3× median
S0311Top 10%

$32K

49 claims · 0.2%

Your Cost: $650.00/claim|Median: $221.54
2.9× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$21K

2,350 claims · 0.2%

Your Cost: $9.15/claim|Median: $51.67
0.2× median
0250Normal range

$4K

2,783 claims · 0.0%

Your Cost: $1.57/claim|Median: $3.70
0.4× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$2K

851 claims · 0.0%

Your Cost: $2.57/claim|Median: $45.50
0.1× median
G0155Normal range

Services of clinical social worker in home health, per 15 min

$1K

225 claims · 0.0%

Your Cost: $6.18/claim|Median: $7.04
0.9× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43
G0156Normal range

Home health aide services, per visit

$0

463 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42
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