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Provider 1578743878

NPI: 1578743878Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$10.1M

$10,063,473

Total Claims

94K

Beneficiaries

27K

3.5 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$501K
+13%
2019
$567K
+13%
2020
$644K
+49%
2021
$956K
+59%
2022
$1.5M
+83%
2023
$2.8M
+12%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 78% of total spending.

T1016Top 25%

Case management, each 15 min

$7.9M

80K claims · 78.1%

Your Cost: $98.75/claim|Median: $49.62
2.0× median
H0042Top 1%

$705K

528 claims · 7.0%

Your Cost: $1,334.89/claim|Median: $802.17
1.7× median
T1017Normal range

Targeted case management, per 15 min

$533K

8,812 claims · 5.3%

Your Cost: $60.51/claim|Median: $69.56
0.9× median
S5190Top 1%

Wellness assessment, performed by non-physician

$523K

1,137 claims · 5.2%

Your Cost: $459.90/claim|Median: $33.67
13.7× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$149K

1,254 claims · 1.5%

Your Cost: $118.70/claim|Median: $28.63
4.1× median
T2028Top 25%

Specialized supply, NOS; per unit

$122K

623 claims · 1.2%

Your Cost: $195.20/claim|Median: $79.30
2.5× median
S5151Normal range

Unskilled respite care, per diem

$80K

437 claims · 0.8%

Your Cost: $182.06/claim|Median: $249.18
0.7× median
H0039Normal range

Assertive community treatment, per diem

$64K

1,555 claims · 0.6%

Your Cost: $41.24/claim|Median: $132.62
0.3× median
A9999Top 25%

$24K

181 claims · 0.2%

Your Cost: $132.48/claim|Median: $39.73
3.3× median
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