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Provider 1619990835

NPI: 1619990835Share
Active Billing Period:2020-11→2024-12(49 months)

Total Paid

$10.7M

$10,736,374

Total Claims

78K

Beneficiaries

6,168

12.6 claims/patient

Avg Cost/Claim

$138

Monthly Spending Trend

Yearly Spending

2020
$12K
+19240%
2021
$2.4M
+25%
2022
$3.0M
-3%
2023
$2.9M
-11%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 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

$5.8M

12K claims · 54.4%

Your Cost: $493.41/claim|Median: $321.53
1.5× median
M0123Normal range

$1.3M

17K claims · 12.3%

Your Cost: $76.12/claim|Median: $76.14
1.0× median
M0124Top 1%

$747K

6,269 claims · 7.0%

Your Cost: $119.18/claim|Median: $119.18
1.0× median
H2014Normal range

Skills training & development, per 15 min

$591K

13K claims · 5.5%

Your Cost: $46.79/claim|Median: $83.88
0.6× median
T2016Normal range

Habilitation, residential, waiver; per diem

$556K

6,296 claims · 5.2%

Your Cost: $88.34/claim|Median: $331.94
0.3× median
M0125Top 1%

$508K

5,395 claims · 4.7%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
M0122Top 1%

$493K

6,792 claims · 4.6%

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

Day habilitation, waiver; per diem

$287K

2,049 claims · 2.7%

Your Cost: $139.95/claim|Median: $87.34
1.6× median
M0116Normal range

$180K

5,663 claims · 1.7%

Your Cost: $31.72/claim|Median: $32.07
1.0× median
M0117Normal range

$97K

2,126 claims · 0.9%

Your Cost: $45.68/claim|Median: $47.85
1.0× median
M0101Top 25%

$45K

302 claims · 0.4%

Your Cost: $149.05/claim|Median: $65.66
2.3× median
M0118Normal range

$26K

710 claims · 0.2%

Your Cost: $36.57/claim|Median: $38.00
1.0× median
M0113Top 1%

$18K

17 claims · 0.2%

Your Cost: $1,084.82/claim|Median: $397.30
2.7× median
T1002Top 25%

RN services, per 15 minutes

$16K

91 claims · 0.1%

Your Cost: $170.82/claim|Median: $37.42
4.6× median
D0120Top 1%

Periodic oral evaluation, established patient

$6K

12 claims · 0.1%

Your Cost: $534.94/claim|Median: $24.34
22.0× median
M0299Normal range

$3K

99 claims · 0.0%

Your Cost: $35.17/claim|Median: $34.98
1.0× median
M0248Top 25%

$2K

114 claims · 0.0%

Your Cost: $15.02/claim|Median: $5.31
2.8× median
M0315Top 1%

$1K

16 claims · 0.0%

Your Cost: $69.95/claim|Median: $29.80
2.3× median
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