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Provider 1568739878

NPI: 1568739878Share
Active Billing Period:2020-032024-12(58 months)

Total Paid

$16.8M

$16,778,639

Total Claims

141K

Beneficiaries

13K

10.4 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2020
$2.5M
+43%
2021
$3.6M
-9%
2022
$3.3M
+13%
2023
$3.7M
-3%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H2021 (Community-based wrap-around services, per 15 min)) accounts for 30% of total spending.

H2021Normal range

Community-based wrap-around services, per 15 min

$5.0M

35K claims · 30.1%

Your Cost: $142.18/claim|Median: $169.11
0.8× median
H2032Normal range

Activity therapy, per 15 minutes

$4.1M

59K claims · 24.6%

Your Cost: $69.85/claim|Median: $108.23
0.6× median
T2021Normal range

Day habilitation, waiver; per 15 min

$2.6M

17K claims · 15.3%

Your Cost: $152.58/claim|Median: $150.51
1.0× median
99509Top 10%

Home visit, assistance w/ ADLs

$1.9M

9,901 claims · 11.4%

Your Cost: $193.58/claim|Median: $51.71
3.7× median
S5125Top 25%

Attendant care services, per 15 min

$1.7M

11K claims · 9.9%

Your Cost: $156.35/claim|Median: $82.34
1.9× median
T2020Top 5%

Day habilitation, waiver; per diem

$479K

522 claims · 2.9%

Your Cost: $918.17/claim|Median: $87.34
10.5× median
S5100Normal range

Day care services, adult, per half day

$458K

6,455 claims · 2.7%

Your Cost: $70.88/claim|Median: $67.58
1.0× median
H2015Top 25%

Comprehensive community support services, per 15 min

$230K

922 claims · 1.4%

Your Cost: $249.66/claim|Median: $96.24
2.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$113K

500 claims · 0.7%

Your Cost: $226.14/claim|Median: $321.53
0.7× median
T2025Top 25%

Waiver services, NOS; per 15 min

$79K

219 claims · 0.5%

Your Cost: $359.68/claim|Median: $124.39
2.9× median
S5135Top 5%

Companion care, adult, per diem

$58K

152 claims · 0.3%

Your Cost: $380.96/claim|Median: $52.25
7.3× median
S5115Top 10%

Home modifications, per service

$51K

214 claims · 0.3%

Your Cost: $237.70/claim|Median: $62.72
3.8× median