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Provider 1578551347

NPI: 1578551347Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.5M

$10,500,343

Total Claims

142K

Beneficiaries

44K

3.2 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$18K
-14%
2019
$15K
+1247%
2020
$203K
+811%
2021
$1.9M
+115%
2022
$4.0M
-1%
2023
$4.0M
-88%
2024
$469K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 42% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$4.5M

44K claims · 42.5%

Your Cost: $100.54/claim|Median: $321.53
0.3× median
T1017Normal range

Targeted case management, per 15 min

$1.5M

16K claims · 13.9%

Your Cost: $91.70/claim|Median: $69.56
1.3× median
M0123Top 1%

$956K

13K claims · 9.1%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
H2014Normal range

Skills training & development, per 15 min

$886K

12K claims · 8.4%

Your Cost: $76.05/claim|Median: $83.88
0.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$830K

16K claims · 7.9%

Your Cost: $51.50/claim|Median: $53.41
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$284K

7,814 claims · 2.7%

Your Cost: $36.32/claim|Median: $87.34
0.4× median
T1002Normal range

RN services, per 15 minutes

$186K

2,856 claims · 1.8%

Your Cost: $65.14/claim|Median: $37.42
1.7× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$172K

2,132 claims · 1.6%

Your Cost: $80.80/claim|Median: $91.63
0.9× median
M0116Normal range

$171K

5,408 claims · 1.6%

Your Cost: $31.53/claim|Median: $32.07
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$170K

528 claims · 1.6%

Your Cost: $322.73/claim|Median: $215.80
1.5× median
M0299Top 25%

$129K

2,125 claims · 1.2%

Your Cost: $60.84/claim|Median: $34.98
1.7× median
M0118Normal range

$109K

2,891 claims · 1.0%

Your Cost: $37.63/claim|Median: $38.00
1.0× median
M0122Top 1%

$103K

1,421 claims · 1.0%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
H0034Normal range

Medication training and management, per 15 min

$102K

3,690 claims · 1.0%

Your Cost: $27.68/claim|Median: $56.90
0.5× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$90K

496 claims · 0.9%

Your Cost: $182.09/claim|Median: $108.91
1.7× median
T1003Normal range

LPN/LVN services, per 15 minutes

$63K

3,091 claims · 0.6%

Your Cost: $20.47/claim|Median: $24.24
0.8× median
M0101Normal range

$48K

463 claims · 0.5%

Your Cost: $103.93/claim|Median: $65.66
1.6× median
M0298Normal range

$40K

2,569 claims · 0.4%

Your Cost: $15.66/claim|Median: $13.85
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$40K

1,636 claims · 0.4%

Your Cost: $24.42/claim|Median: $25.06
1.0× median
M0113Normal range

$32K

79 claims · 0.3%

Your Cost: $399.19/claim|Median: $397.30
1.0× median
M0171Normal range

$25K

329 claims · 0.2%

Your Cost: $74.61/claim|Median: $73.78
1.0× median
T2016Normal range

Habilitation, residential, waiver; per diem

$24K

974 claims · 0.2%

Your Cost: $24.66/claim|Median: $331.94
0.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$20K

213 claims · 0.2%

Your Cost: $95.03/claim|Median: $84.12
1.1× median
A9153Normal range

$19K

339 claims · 0.2%

Your Cost: $55.09/claim|Median: $45.63
1.2× median
M0372Top 25%

$15K

900 claims · 0.1%

Your Cost: $16.56/claim|Median: $13.55
1.2× median
M0133Normal range

$15K

157 claims · 0.1%

Your Cost: $93.46/claim|Median: $84.70
1.1× median
D0120Top 1%

Periodic oral evaluation, established patient

$14K

39 claims · 0.1%

Your Cost: $346.44/claim|Median: $24.34
14.2× median
90837Top 25%

Psychotherapy, 60 minutes

$12K

109 claims · 0.1%

Your Cost: $109.21/claim|Median: $85.66
1.3× median
T2025Normal range

Waiver services, NOS; per 15 min

$7K

94 claims · 0.1%

Your Cost: $70.81/claim|Median: $124.39
0.6× median
M0248Normal range

$5K

780 claims · 0.0%

Your Cost: $6.57/claim|Median: $5.31
1.2× median
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