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Provider 1619028313

NPI: 1619028313Share
Active Billing Period:2018-01→2024-02(64 months)
Billing appears to have stoppedLast active: 2024-02

Total Paid

$14.6M

$14,605,786

Total Claims

45K

Beneficiaries

3,633

12.3 claims/patient

Avg Cost/Claim

$326

Monthly Spending Trend

Yearly Spending

2018
$878K
+461%
2019
$4.9M
-28%
2020
$3.5M
-32%
2021
$2.4M
+8%
2022
$2.6M
-90%
2023
$254K
-67%
2024
$83K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 40% of total spending.

T2046Normal range

Habilitation, residential, waiver; per month

$5.8M

35K claims · 39.7%

Your Cost: $165.48/claim|Median: $1,795.74
0.1× median
Q5001Top 10%

Injection, filgrastim-sndz, biosimilar, 1 mcg

$5.4M

4,617 claims · 36.6%

Your Cost: $1,159.02/claim|Median: $23.43
49.5× median
Q5004Top 25%

$3.1M

4,859 claims · 21.0%

Your Cost: $630.54/claim|Median: $127.12
5.0× median
Q5003Normal range

Injection, infliximab-dyyb, biosimilar, 10 mg

$395K

233 claims · 2.7%

Your Cost: $1,695.43/claim|Median: $177.99
9.5× median
99223Normal range

Initial hospital care, per day, high complexity

$2K

59 claims · 0.0%

Your Cost: $39.45/claim|Median: $67.32
0.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$201

54 claims · 0.0%

Your Cost: $3.73/claim|Median: $35.30
0.1× median
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