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Provider 1629474820

NPI: 1629474820Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$15.0M

$15,008,209

Total Claims

109K

Beneficiaries

11K

10.0 claims/patient

Avg Cost/Claim

$137

Monthly Spending Trend

Yearly Spending

2021
$2.2M
+77%
2022
$3.9M
+4%
2023
$4.1M
+16%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 64% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$9.6M

32K claims · 63.7%

Your Cost: $302.06/claim|Median: $321.53
0.9× median
H2014Normal range

Skills training & development, per 15 min

$1.0M

22K claims · 6.8%

Your Cost: $45.66/claim|Median: $83.88
0.5× median
M0123Top 1%

$949K

12K claims · 6.3%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0124Normal range

$704K

5,904 claims · 4.7%

Your Cost: $119.18/claim|Median: $119.18
1.0× median
M0125Top 1%

$596K

6,339 claims · 4.0%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
T2020Top 25%

Day habilitation, waiver; per diem

$490K

1,736 claims · 3.3%

Your Cost: $282.53/claim|Median: $87.34
3.2× median
M0122Top 1%

$369K

5,080 claims · 2.5%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0116Normal range

$247K

7,885 claims · 1.6%

Your Cost: $31.27/claim|Median: $32.07
1.0× median
M0118Normal range

$182K

4,895 claims · 1.2%

Your Cost: $37.15/claim|Median: $38.00
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$168K

1,548 claims · 1.1%

Your Cost: $108.34/claim|Median: $84.12
1.3× median
T2025Normal range

Waiver services, NOS; per 15 min

$145K

2,176 claims · 1.0%

Your Cost: $66.58/claim|Median: $124.39
0.5× median
T1002Normal range

RN services, per 15 minutes

$134K

2,525 claims · 0.9%

Your Cost: $53.15/claim|Median: $37.42
1.4× median
D0120Top 1%

Periodic oral evaluation, established patient

$132K

234 claims · 0.9%

Your Cost: $565.35/claim|Median: $24.34
23.2× median
M0171Normal range

$93K

1,398 claims · 0.6%

Your Cost: $66.60/claim|Median: $73.78
0.9× median
M0299Top 25%

$60K

860 claims · 0.4%

Your Cost: $69.77/claim|Median: $34.98
2.0× median
M0117Normal range

$59K

1,325 claims · 0.4%

Your Cost: $44.51/claim|Median: $47.85
0.9× median
M0133Normal range

$40K

488 claims · 0.3%

Your Cost: $82.67/claim|Median: $84.70
1.0× median
M0101Top 1%

$35K

49 claims · 0.2%

Your Cost: $708.25/claim|Median: $65.66
10.8× median
M0315Top 25%

$8K

200 claims · 0.1%

Your Cost: $41.32/claim|Median: $29.80
1.4× median
M0113Normal range

$6K

14 claims · 0.0%

Your Cost: $403.09/claim|Median: $397.30
1.0× median
S8990Normal range

$5K

57 claims · 0.0%

Your Cost: $87.59/claim|Median: $78.36
1.1× median
M0248Top 10%

$666

28 claims · 0.0%

Your Cost: $23.79/claim|Median: $5.31
4.5× median
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