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Provider 1568745438

NPI: 1568745438Share
Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 74% of $11.8M billed through just 2 codes

Total Paid

$11.8M

$11,809,836

Total Claims

144K

Beneficiaries

7,643

18.9 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+5%
2019
$1.5M
+9%
2020
$1.7M
+12%
2021
$1.9M
+4%
2022
$1.9M
-11%
2023
$1.7M
-4%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (S5102 (Day care services, adult; per 15 min)) accounts for 74% of total spending.

S5102Normal range

Day care services, adult; per 15 min

$8.8M

96K claims · 74.2%

Your Cost: $91.16/claim|Median: $81.10
1.1× median
W5102Normal range

Waiver service, state-specific code

$3.0M

48K claims · 25.8%

Your Cost: $63.26/claim|Median: $62.73
1.0× median