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Provider 1578897849

NPI: 1578897849Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$8.5M

$8,512,224

Total Claims

115K

Beneficiaries

6,213

18.5 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2021
$950K
+128%
2022
$2.2M
+20%
2023
$2.6M
+7%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 60% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$5.1M

57K claims · 60.1%

Your Cost: $90.01/claim|Median: $321.53
0.3× median
T2016Normal range

Habilitation, residential, waiver; per diem

$808K

6,721 claims · 9.5%

Your Cost: $120.22/claim|Median: $331.94
0.4× median
M0123Top 1%

$644K

8,455 claims · 7.6%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0122Top 1%

$446K

6,147 claims · 5.2%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
H2014Normal range

Skills training & development, per 15 min

$439K

14K claims · 5.2%

Your Cost: $30.74/claim|Median: $83.88
0.4× median
T2020Normal range

Day habilitation, waiver; per diem

$284K

7,731 claims · 3.3%

Your Cost: $36.69/claim|Median: $87.34
0.4× median
T2025Normal range

Waiver services, NOS; per 15 min

$280K

3,749 claims · 3.3%

Your Cost: $74.81/claim|Median: $124.39
0.6× median
M0116Top 25%

$158K

4,717 claims · 1.9%

Your Cost: $33.60/claim|Median: $32.07
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$83K

1,276 claims · 1.0%

Your Cost: $65.01/claim|Median: $84.12
0.8× median
M0171Normal range

$79K

1,024 claims · 0.9%

Your Cost: $77.09/claim|Median: $73.78
1.0× median
M0115Top 25%

$61K

1,952 claims · 0.7%

Your Cost: $31.41/claim|Median: $29.58
1.1× median
T1002Normal range

RN services, per 15 minutes

$52K

934 claims · 0.6%

Your Cost: $56.09/claim|Median: $37.42
1.5× median
M0133Normal range

$36K

463 claims · 0.4%

Your Cost: $77.68/claim|Median: $84.70
0.9× median
M0298Top 1%

$12K

225 claims · 0.1%

Your Cost: $55.26/claim|Median: $13.85
4.0× median
M0113Top 5%

$9K

12 claims · 0.1%

Your Cost: $729.09/claim|Median: $397.30
1.8× median
M0299Top 25%

$3K

44 claims · 0.0%

Your Cost: $69.03/claim|Median: $34.98
2.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$3K

80 claims · 0.0%

Your Cost: $31.73/claim|Median: $24.24
1.3× median
M0315Top 10%

$577

12 claims · 0.0%

Your Cost: $48.08/claim|Median: $29.80
1.6× median
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