Provider 1568530392
NPI: 1568530392Share
Active Billing Period:2018-01→2024-11(83 months)
Total Paid
$9.8M
$9,763,456
Total Claims
91K
Beneficiaries
5,404
16.8 claims/patient
Avg Cost/Claim
$108
Monthly Spending Trend
Yearly Spending
2018
$945K
+12%
2019
$1.1M
-29%
2020
$756K
+37%
2021
$1.0M
+55%
2022
$1.6M
+43%
2023
$2.3M
-9%
2024
$2.1M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 6 distinct procedure codes. The top code (T2021 (Day habilitation, waiver; per 15 min)) accounts for 59% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$5.7M
64K claims
$89.61
$150.51
0.6×
Normal range
T2021Normal range
Day habilitation, waiver; per 15 min
$5.7M
64K claims · 58.8%
Your Cost: $89.61/claim|Median: $150.51
0.6× median$3.3M
21K claims
$159.40
$331.94
0.5×
Normal range
T2016Normal range
Habilitation, residential, waiver; per diem
$3.3M
21K claims · 33.7%
Your Cost: $159.40/claim|Median: $331.94
0.5× median$300K
1,310 claims
$228.67
$69.56
3.3×
Top 25%
T1017Top 25%
Targeted case management, per 15 min
$300K
1,310 claims · 3.1%
Your Cost: $228.67/claim|Median: $69.56
3.3× median$243K
3,388 claims
$71.71
$100.49
0.7×
Normal range
H2025Normal range
Ongoing support to maintain employment, per 15 min
$243K
3,388 claims · 2.5%
Your Cost: $71.71/claim|Median: $100.49
0.7× medianH2023Top 25%
Supported employment, per 15 min
$179K
1,144 claims · 1.8%
Your Cost: $156.86/claim|Median: $103.94
1.5× medianT2021HQNormal range
$6K
91 claims · 0.1%
Your Cost: $70.77/claim|Median: $70.77
1.0× median