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Provider 1598361891

NPI: 1598361891Share
Active Billing Period:2019-04→2024-11(46 months)

Total Paid

$12.5M

$12,512,980

Total Claims

72K

Beneficiaries

57K

1.3 claims/patient

Avg Cost/Claim

$173

Monthly Spending Trend

Yearly Spending

2019
$5K
-76%
2020
$1K
+206154%
2021
$2.5M
+61%
2022
$4.0M
+53%
2023
$6.1M
-100%
2024
$28K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T2030 (Supported employment, job coaching, waiver, per diem)) accounts for 66% of total spending.

T2030Top 25%

Supported employment, job coaching, waiver, per diem

$8.2M

6,006 claims · 65.6%

Your Cost: $1,365.92/claim|Median: $1,184.47
1.2× median
T2031Normal range

Waiver services, not otherwise specified

$1.5M

1,151 claims · 11.9%

Your Cost: $1,293.02/claim|Median: $853.15
1.5× median
A9999Normal range

$719K

8,469 claims · 5.7%

Your Cost: $84.89/claim|Median: $39.73
2.1× median
E1392Top 1%

$625K

5,481 claims · 5.0%

Your Cost: $114.02/claim|Median: $10.81
10.5× median
E1390Top 25%

Oxygen concentrator, single delivery port

$189K

2,807 claims · 1.5%

Your Cost: $67.46/claim|Median: $45.11
1.5× median
90837Top 10%

Psychotherapy, 60 minutes

$158K

1,129 claims · 1.3%

Your Cost: $139.59/claim|Median: $85.66
1.6× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$140K

2,645 claims · 1.1%

Your Cost: $53.06/claim|Median: $35.30
1.5× median
11719Top 5%

$118K

5,323 claims · 0.9%

Your Cost: $22.15/claim|Median: $1.95
11.4× median
S5161Normal range

Emergency response system, per month

$97K

8,102 claims · 0.8%

Your Cost: $11.95/claim|Median: $29.97
0.4× median
99309Top 1%

Nursing facility care, subsequent, low complexity

$76K

825 claims · 0.6%

Your Cost: $92.53/claim|Median: $14.00
6.6× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$68K

234 claims · 0.5%

Your Cost: $291.92/claim|Median: $164.22
1.8× median
E0434Normal range

$53K

2,044 claims · 0.4%

Your Cost: $25.95/claim|Median: $17.56
1.5× median
U0003Top 25%

Infectious disease detection (COVID-19)

$49K

638 claims · 0.4%

Your Cost: $76.96/claim|Median: $63.08
1.2× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$46K

830 claims · 0.4%

Your Cost: $55.08/claim|Median: $9.79
5.6× median
99213Normal range

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

$44K

1,849 claims · 0.4%

Your Cost: $24.05/claim|Median: $37.81
0.6× median
E0466Top 1%

Home ventilator, any type, used with non-invasive interface

$37K

36 claims · 0.3%

Your Cost: $1,014.66/claim|Median: $317.50
3.2× median
T1017Normal range

Targeted case management, per 15 min

$32K

1,088 claims · 0.3%

Your Cost: $29.02/claim|Median: $69.56
0.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$26K

2,131 claims · 0.2%

Your Cost: $12.32/claim|Median: $9.87
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$20K

786 claims · 0.2%

Your Cost: $25.28/claim|Median: $18.18
1.4× median
80053Normal range

Comprehensive metabolic panel

$20K

2,550 claims · 0.2%

Your Cost: $7.74/claim|Median: $7.24
1.1× median
V5257Top 10%

$19K

12 claims · 0.1%

Your Cost: $1,550.00/claim|Median: $430.20
3.6× median
A0425Normal range

Ground mileage, per statute mile

$17K

782 claims · 0.1%

Your Cost: $21.95/claim|Median: $23.36
0.9× median
E0439Top 25%

$16K

138 claims · 0.1%

Your Cost: $117.60/claim|Median: $56.10
2.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$16K

2,169 claims · 0.1%

Your Cost: $7.39/claim|Median: $5.50
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$16K

3,011 claims · 0.1%

Your Cost: $5.28/claim|Median: $4.71
1.1× median
80061Normal range

Lipid panel

$15K

1,497 claims · 0.1%

Your Cost: $10.21/claim|Median: $8.41
1.2× median
E0442Normal range

$12K

824 claims · 0.1%

Your Cost: $15.08/claim|Median: $31.85
0.5× median
A0428Top 10%

Ambulance service, BLS, non-emergency transport

$10K

57 claims · 0.1%

Your Cost: $179.75/claim|Median: $58.05
3.1× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$10K

1,011 claims · 0.1%

Your Cost: $9.73/claim|Median: $8.72
1.1× median
82652Normal range

$10K

484 claims · 0.1%

Your Cost: $20.26/claim|Median: $18.13
1.1× median
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