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Provider 1598997926

NPI: 1598997926Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$9.8M

$9,772,627

Total Claims

82K

Beneficiaries

9,478

8.6 claims/patient

Avg Cost/Claim

$120

Monthly Spending Trend

Yearly Spending

2021
$1.4M
+76%
2022
$2.5M
+14%
2023
$2.8M
+9%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 54% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$5.3M

12K claims · 54.2%

Your Cost: $437.03/claim|Median: $321.53
1.4× median
M0123Top 1%

$1.2M

16K claims · 12.8%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
T2016Normal range

Habilitation, residential, waiver; per diem

$1.2M

9,378 claims · 12.7%

Your Cost: $132.62/claim|Median: $331.94
0.4× median
H2014Normal range

Skills training & development, per 15 min

$626K

18K claims · 6.4%

Your Cost: $34.57/claim|Median: $83.88
0.4× median
M0122Top 1%

$358K

4,935 claims · 3.7%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$252K

3,273 claims · 2.6%

Your Cost: $77.02/claim|Median: $87.34
0.9× median
M0116Normal range

$212K

6,768 claims · 2.2%

Your Cost: $31.40/claim|Median: $32.07
1.0× median
S5150Normal range

Unskilled respite care, per 15 min

$110K

822 claims · 1.1%

Your Cost: $134.39/claim|Median: $84.46
1.6× median
T1002Normal range

RN services, per 15 minutes

$99K

2,936 claims · 1.0%

Your Cost: $33.89/claim|Median: $37.42
0.9× median
M0360Top 25%

$89K

730 claims · 0.9%

Your Cost: $122.02/claim|Median: $102.43
1.2× median
T2025Normal range

Waiver services, NOS; per 15 min

$88K

1,938 claims · 0.9%

Your Cost: $45.48/claim|Median: $124.39
0.4× median
M0299Normal range

$41K

2,019 claims · 0.4%

Your Cost: $20.54/claim|Median: $34.98
0.6× median
M0171Normal range

$34K

480 claims · 0.3%

Your Cost: $69.86/claim|Median: $73.78
0.9× median
D0120Top 1%

Periodic oral evaluation, established patient

$29K

100 claims · 0.3%

Your Cost: $286.55/claim|Median: $24.34
11.8× median
M0201Normal range

$19K

698 claims · 0.2%

Your Cost: $26.99/claim|Median: $18.33
1.5× median
M0113Normal range

$11K

27 claims · 0.1%

Your Cost: $397.91/claim|Median: $397.30
1.0× median
M0240Normal range

$8K

77 claims · 0.1%

Your Cost: $100.71/claim|Median: $141.71
0.7× median
T1003Normal range

LPN/LVN services, per 15 minutes

$8K

864 claims · 0.1%

Your Cost: $8.81/claim|Median: $24.24
0.4× median
M0315Normal range

$2K

68 claims · 0.0%

Your Cost: $26.81/claim|Median: $29.80
0.9× median
M0307Normal range

$358

21 claims · 0.0%

Your Cost: $17.05/claim|Median: $29.10
0.6× median
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