Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1568771004

NPI: 1568771004Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$11.1M

$11,143,981

Total Claims

396K

Beneficiaries

109K

3.6 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+11%
2019
$2.0M
-22%
2020
$1.6M
-9%
2021
$1.5M
-15%
2022
$1.2M
+24%
2023
$1.5M
-9%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 27% of total spending.

T2022Normal range

Case management, per month

$3.0M

58K claims · 26.8%

Your Cost: $51.26/claim|Median: $202.77
0.3× median
T1019Normal range

Personal care services, per 15 min

$2.5M

60K claims · 22.2%

Your Cost: $41.05/claim|Median: $82.47
0.5× median
S5130Normal range

Homemaker service, NOS; per 15 min

$1.5M

22K claims · 13.3%

Your Cost: $65.98/claim|Median: $48.76
1.4× median
S5102Normal range

Day care services, adult; per 15 min

$1.1M

16K claims · 9.5%

Your Cost: $66.15/claim|Median: $81.10
0.8× median
99456Top 5%

$748K

4,345 claims · 6.7%

Your Cost: $172.09/claim|Median: $151.24
1.1× median
S5161Normal range

Emergency response system, per month

$712K

28K claims · 6.4%

Your Cost: $25.16/claim|Median: $29.97
0.8× median
S5170Normal range

Homemaker service, NOS, per diem

$621K

52K claims · 5.6%

Your Cost: $11.85/claim|Median: $19.89
0.6× median
T2003Normal range

Non-emergency transport; encounter/trip

$500K

14K claims · 4.5%

Your Cost: $35.40/claim|Median: $21.70
1.6× median
T1020Normal range

Personal care services, per diem

$284K

136K claims · 2.6%

Your Cost: $2.09/claim|Median: $296.27
0.0× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$174K

1,542 claims · 1.6%

Your Cost: $112.93/claim|Median: $106.70
1.1× median
S5101Normal range

Day care services, adult, per half day

$63K

1,507 claims · 0.6%

Your Cost: $42.07/claim|Median: $66.43
0.6× median
A9279Top 25%

$24K

488 claims · 0.2%

Your Cost: $50.00/claim|Median: $10.45
4.8× median
S5100Normal range

Day care services, adult, per half day

$14K

247 claims · 0.1%

Your Cost: $55.09/claim|Median: $67.58
0.8× median
99339Normal range

$1K

41 claims · 0.0%

Your Cost: $35.12/claim|Median: $37.37
0.9× median
← All providersHow we detect fraud →