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Provider 1619092871

NPI: 1619092871Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$8.7M

$8,729,239

Total Claims

151K

Beneficiaries

139K

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$780K
+18%
2019
$922K
+43%
2020
$1.3M
+10%
2021
$1.4M
+10%
2022
$1.6M
-2%
2023
$1.5M
-26%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 67% of total spending.

T2022Normal range

Case management, per month

$5.8M

104K claims · 66.8%

Your Cost: $55.99/claim|Median: $202.77
0.3× median
99456Normal range

$1.3M

8,457 claims · 15.1%

Your Cost: $156.32/claim|Median: $151.24
1.0× median
G9001Normal range

$605K

8,975 claims · 6.9%

Your Cost: $67.44/claim|Median: $53.98
1.2× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$387K

3,173 claims · 4.4%

Your Cost: $122.05/claim|Median: $106.70
1.1× median
H0046Normal range

Mental health services, not otherwise specified

$288K

8,169 claims · 3.3%

Your Cost: $35.24/claim|Median: $85.02
0.4× median
S5170Normal range

Homemaker service, NOS, per diem

$196K

7,760 claims · 2.3%

Your Cost: $25.32/claim|Median: $19.89
1.3× median
96160Top 1%

Patient-focused health risk assessment

$66K

1,550 claims · 0.8%

Your Cost: $42.84/claim|Median: $2.10
20.4× median
G9002Normal range

Coordinated care fee, maintenance period

$32K

9,040 claims · 0.4%

Your Cost: $3.55/claim|Median: $108.80
0.0× median
S0280Normal range

Medical home program, comprehensive care management

$5K

30 claims · 0.1%

Your Cost: $150.00/claim|Median: $48.38
3.1× median
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