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Provider 1629408455

NPI: 1629408455Share
Active Billing Period:2019-07→2024-12(66 months)

Total Paid

$16.5M

$16,456,326

Total Claims

156K

Beneficiaries

19K

8.2 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2019
$99K
+103%
2020
$201K
+16%
2021
$232K
+1704%
2022
$4.2M
+37%
2023
$5.7M
+4%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 67% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$11.0M

43K claims · 66.5%

Your Cost: $253.33/claim|Median: $331.94
0.8× median
H2026Normal range

$1.5M

32K claims · 9.3%

Your Cost: $48.16/claim|Median: $76.18
0.6× median
T2014Normal range

Habilitation, prevocational, waiver, per hour

$1.1M

28K claims · 6.5%

Your Cost: $38.74/claim|Median: $74.75
0.5× median
T1027Top 25%

Family training and counseling, per 15 minutes

$746K

7,846 claims · 4.5%

Your Cost: $95.07/claim|Median: $53.00
1.8× median
T2020Normal range

Day habilitation, waiver; per diem

$743K

15K claims · 4.5%

Your Cost: $48.13/claim|Median: $87.34
0.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$547K

14K claims · 3.3%

Your Cost: $38.36/claim|Median: $321.53
0.1× median
T1017Normal range

Targeted case management, per 15 min

$495K

9,412 claims · 3.0%

Your Cost: $52.54/claim|Median: $69.56
0.8× median
T1016Normal range

Case management, each 15 min

$327K

5,879 claims · 2.0%

Your Cost: $55.55/claim|Median: $49.62
1.1× median
T1018Top 5%

School-based IEP services, per encounter

$41K

379 claims · 0.2%

Your Cost: $108.38/claim|Median: $39.53
2.7× median
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