Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1609210079

NPI: 1609210079Share
Active Billing Period:2018-01→2023-07(67 months)
Billing appears to have stoppedLast active: 2023-07

Total Paid

$17.3M

$17,301,579

Total Claims

286K

Beneficiaries

23K

12.7 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+34%
2019
$3.6M
-34%
2020
$2.4M
+27%
2021
$3.0M
+47%
2022
$4.4M
-71%
2023
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (S5102 (Day care services, adult; per 15 min)) accounts for 53% of total spending.

S5102Normal range

Day care services, adult; per 15 min

$9.2M

106K claims · 53.3%

Your Cost: $87.17/claim|Median: $81.10
1.1× median
S5105Normal range

Day care services, adult, per hour

$5.8M

78K claims · 33.3%

Your Cost: $74.16/claim|Median: $72.81
1.0× median
A0110Top 25%

Non-emergency taxi transport

$660K

27K claims · 3.8%

Your Cost: $24.75/claim|Median: $9.27
2.7× median
T2003Normal range

Non-emergency transport; encounter/trip

$475K

19K claims · 2.7%

Your Cost: $24.95/claim|Median: $21.70
1.1× median
S5170Normal range

Homemaker service, NOS, per diem

$395K

20K claims · 2.3%

Your Cost: $20.00/claim|Median: $19.89
1.0× median
S9977Top 25%

Home infusion therapy, unspecified

$327K

16K claims · 1.9%

Your Cost: $20.00/claim|Median: $19.91
1.0× median
T1014Top 25%

$272K

14K claims · 1.6%

Your Cost: $19.99/claim|Median: $12.88
1.6× median
A0100Normal range

Non-emergency transportation; per trip

$189K

7,565 claims · 1.1%

Your Cost: $24.98/claim|Median: $24.72
1.0× median
← All providersHow we detect fraud →