Unknown Provider 1609156769
NPI: 1609156769Share
Active Billing Period:2018-01→2024-09(81 months)
Total Paid
$111.3M
$111,262,485
Total Claims
1.0M
Beneficiaries
104K
10.0 claims/patient
Avg Cost/Claim
$107
Monthly Spending Trend
Yearly Spending
2018
$10.2M
+13%
2019
$11.5M
+22%
2020
$14.0M
+13%
2021
$15.8M
+23%
2022
$19.5M
+20%
2023
$23.4M
-28%
2024
$16.9M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 65% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$72.2M
640K claims
$112.83
$82.47
1.4×
Normal range
T1019Normal range
Personal care services, per 15 min
$72.2M
640K claims · 64.9%
Your Cost: $112.83/claim|Median: $82.47
1.4× median$23.9M
262K claims
$91.34
$82.34
1.1×
Normal range
S5125Normal range
Attendant care services, per 15 min
$23.9M
262K claims · 21.5%
Your Cost: $91.34/claim|Median: $82.34
1.1× median$8.1M
88K claims
$93.13
$124.39
0.7×
Normal range
T2025Normal range
Waiver services, NOS; per 15 min
$8.1M
88K claims · 7.3%
Your Cost: $93.13/claim|Median: $124.39
0.7× median$7.0M
51K claims
$137.75
$108.97
1.3×
Normal range
T2040Normal range
Financial management, self-directed; per month
$7.0M
51K claims · 6.3%
Your Cost: $137.75/claim|Median: $108.97
1.3× median$18K
159 claims
$113.25
$119.19
1.0×
Normal range
H0045Normal range
Respite care services, not in the home, per diem
$18K
159 claims · 0.0%
Your Cost: $113.25/claim|Median: $119.19
1.0× median