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Provider 1639202534

NPI: 1639202534Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$12.1M

$12,063,228

Total Claims

155K

Beneficiaries

51K

3.1 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+0%
2019
$1.8M
+3%
2020
$1.9M
-11%
2021
$1.7M
+3%
2022
$1.7M
+1%
2023
$1.8M
-26%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 59% of total spending.

W7210Normal range

Waiver service, state-specific code

$7.1M

96K claims · 59.1%

Your Cost: $74.10/claim|Median: $80.31
0.9× median
T1017Normal range

Targeted case management, per 15 min

$2.9M

32K claims · 24.2%

Your Cost: $92.10/claim|Median: $69.56
1.3× median
T1016Normal range

Case management, each 15 min

$1.5M

20K claims · 12.3%

Your Cost: $73.87/claim|Median: $49.62
1.5× median
W0016Normal range

$532K

7,452 claims · 4.4%

Your Cost: $71.44/claim|Median: $72.46
1.0× median