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Provider 1558766329

NPI: 1558766329Share
Active Billing Period:2019-02→2024-12(59 months)

Total Paid

$11.7M

$11,719,639

Total Claims

121K

Beneficiaries

7,943

15.2 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2019
-$2K
2020
$749
+160707%
2021
$1.2M
+146%
2022
$3.0M
+25%
2023
$3.7M
+3%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 67% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$7.9M

41K claims · 67.4%

Your Cost: $194.17/claim|Median: $321.53
0.6× median
H2014Normal range

Skills training & development, per 15 min

$1.1M

23K claims · 9.2%

Your Cost: $46.67/claim|Median: $83.88
0.6× median
M0152Normal range

$984K

15K claims · 8.4%

Your Cost: $65.92/claim|Median: $174.64
0.4× median
T2020Normal range

Day habilitation, waiver; per diem

$445K

11K claims · 3.8%

Your Cost: $42.28/claim|Median: $87.34
0.5× median
S8990Normal range

$433K

5,804 claims · 3.7%

Your Cost: $74.59/claim|Median: $78.36
1.0× median
M0150Normal range

$329K

6,984 claims · 2.8%

Your Cost: $47.04/claim|Median: $161.06
0.3× median
M0118Normal range

$230K

6,577 claims · 2.0%

Your Cost: $34.99/claim|Median: $38.00
0.9× median
M0116Normal range

$176K

5,767 claims · 1.5%

Your Cost: $30.46/claim|Median: $32.07
0.9× median
T1002Normal range

RN services, per 15 minutes

$77K

3,311 claims · 0.7%

Your Cost: $23.33/claim|Median: $37.42
0.6× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$20K

321 claims · 0.2%

Your Cost: $63.12/claim|Median: $84.12
0.8× median
M0299Normal range

$20K

637 claims · 0.2%

Your Cost: $31.29/claim|Median: $34.98
0.9× median
T1003Normal range

LPN/LVN services, per 15 minutes

$13K

1,033 claims · 0.1%

Your Cost: $12.30/claim|Median: $24.24
0.5× median
M0298Normal range

$11K

1,089 claims · 0.1%

Your Cost: $10.26/claim|Median: $13.85
0.7× median
D0120Top 1%

Periodic oral evaluation, established patient

$6K

17 claims · 0.0%

Your Cost: $328.71/claim|Median: $24.34
13.5× median
M0315Normal range

$290

15 claims · 0.0%

Your Cost: $19.32/claim|Median: $29.80
0.6× median
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