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Provider 1629185566

NPI: 1629185566Share
Active Billing Period:2021-02→2024-08(43 months)

Total Paid

$13.4M

$13,390,108

Total Claims

181K

Beneficiaries

12K

14.9 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2021
$2.2M
+77%
2022
$3.8M
+20%
2023
$4.6M
-39%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 59% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$7.9M

83K claims · 59.2%

Your Cost: $95.13/claim|Median: $321.53
0.3× median
M0123Normal range

$921K

12K claims · 6.9%

Your Cost: $75.96/claim|Median: $76.14
1.0× median
H2014Normal range

Skills training & development, per 15 min

$885K

22K claims · 6.6%

Your Cost: $41.12/claim|Median: $83.88
0.5× median
M0122Top 1%

$754K

10K claims · 5.6%

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

Day habilitation, waiver; per diem

$569K

14K claims · 4.2%

Your Cost: $40.59/claim|Median: $87.34
0.5× median
M0125Top 1%

$487K

5,173 claims · 3.6%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
T2016Normal range

Habilitation, residential, waiver; per diem

$266K

5,075 claims · 2.0%

Your Cost: $52.48/claim|Median: $331.94
0.2× median
M0354Normal range

$262K

4,030 claims · 2.0%

Your Cost: $65.03/claim|Median: $90.61
0.7× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$251K

2,502 claims · 1.9%

Your Cost: $100.18/claim|Median: $84.12
1.2× median
M0116Normal range

$233K

6,969 claims · 1.7%

Your Cost: $33.49/claim|Median: $32.07
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$212K

405 claims · 1.6%

Your Cost: $524.07/claim|Median: $24.34
21.5× median
M0118Top 25%

$146K

3,657 claims · 1.1%

Your Cost: $39.96/claim|Median: $38.00
1.1× median
M0113Top 25%

$123K

221 claims · 0.9%

Your Cost: $557.88/claim|Median: $397.30
1.4× median
M0115Normal range

$100K

3,283 claims · 0.7%

Your Cost: $30.42/claim|Median: $29.58
1.0× median
M0372Top 25%

$83K

5,007 claims · 0.6%

Your Cost: $16.62/claim|Median: $13.55
1.2× median
T1002Normal range

RN services, per 15 minutes

$45K

1,093 claims · 0.3%

Your Cost: $41.11/claim|Median: $37.42
1.1× median
M0133Top 25%

$43K

407 claims · 0.3%

Your Cost: $104.45/claim|Median: $84.70
1.2× median
M0299Top 25%

$32K

653 claims · 0.2%

Your Cost: $49.64/claim|Median: $34.98
1.4× median
M0101Top 10%

$15K

88 claims · 0.1%

Your Cost: $171.20/claim|Median: $65.66
2.6× median
M0315Normal range

$14K

384 claims · 0.1%

Your Cost: $36.53/claim|Median: $29.80
1.2× median
M0117Normal range

$13K

263 claims · 0.1%

Your Cost: $48.39/claim|Median: $47.85
1.0× median
M0298Normal range

$4K

461 claims · 0.0%

Your Cost: $9.39/claim|Median: $13.85
0.7× median
T1003Normal range

LPN/LVN services, per 15 minutes

$2K

187 claims · 0.0%

Your Cost: $8.45/claim|Median: $24.24
0.3× median
M0248Top 25%

$1K

110 claims · 0.0%

Your Cost: $13.27/claim|Median: $5.31
2.5× median
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