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Provider 1588709133

NPI: 1588709133Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$11,971,410

Total Claims

108K

Beneficiaries

51K

2.1 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+22%
2019
$1.7M
-25%
2020
$1.2M
+10%
2021
$1.4M
+10%
2022
$1.5M
+53%
2023
$2.3M
+10%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1027 (Family training and counseling, per 15 minutes)) accounts for 22% of total spending.

T1027Top 10%

Family training and counseling, per 15 minutes

$2.7M

23K claims · 22.5%

Your Cost: $119.20/claim|Median: $53.00
2.2× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$2.4M

19K claims · 20.2%

Your Cost: $125.97/claim|Median: $119.08
1.1× median
99502Top 25%

$1.5M

14K claims · 12.5%

Your Cost: $108.12/claim|Median: $59.00
1.8× median
T1016Normal range

Case management, each 15 min

$1.5M

32K claims · 12.3%

Your Cost: $46.64/claim|Median: $49.62
0.9× median
H2000Top 1%

Comprehensive multidisciplinary evaluation

$1.1M

1,410 claims · 9.4%

Your Cost: $800.25/claim|Median: $114.71
7.0× median
99600Top 25%

Unlisted home visit service or procedure

$882K

4,686 claims · 7.4%

Your Cost: $188.31/claim|Median: $111.99
1.7× median
99501Top 5%

$829K

2,300 claims · 6.9%

Your Cost: $360.28/claim|Median: $76.03
4.7× median
T1013Top 10%

Sign language or oral interpretive services, per 15 minutes

$543K

7,275 claims · 4.5%

Your Cost: $74.60/claim|Median: $17.67
4.2× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$330K

3,076 claims · 2.8%

Your Cost: $107.44/claim|Median: $106.70
1.0× median
S9446Top 25%

$106K

1,102 claims · 0.9%

Your Cost: $96.05/claim|Median: $13.66
7.0× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$58K

308 claims · 0.5%

Your Cost: $187.19/claim|Median: $110.87
1.7× median
T5999Top 25%

Transportation service, not otherwise classified

$15K

268 claims · 0.1%

Your Cost: $55.02/claim|Median: $8.13
6.8× median
97162Top 5%

PT evaluation, moderate complexity

$2K

12 claims · 0.0%

Your Cost: $149.80/claim|Median: $46.10
3.2× median
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