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Provider 1649475914

NPI: 1649475914Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,259,464

Total Claims

38K

Beneficiaries

24K

1.6 claims/patient

Avg Cost/Claim

$403

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-16%
2019
$2.6M
-14%
2020
$2.2M
-5%
2021
$2.1M
+5%
2022
$2.2M
-31%
2023
$1.5M
-4%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 56% of total spending.

S5125Top 5%

Attendant care services, per 15 min

$8.5M

8,268 claims · 55.7%

Your Cost: $1,028.26/claim|Median: $82.34
12.5× median
T1005Top 5%

Respite care services, per 15 minutes

$2.8M

4,229 claims · 18.5%

Your Cost: $668.92/claim|Median: $71.40
9.4× median
G9002Top 25%

Coordinated care fee, maintenance period

$1.5M

7,325 claims · 9.8%

Your Cost: $203.22/claim|Median: $108.80
1.9× median
T1016Top 25%

Case management, each 15 min

$997K

8,624 claims · 6.5%

Your Cost: $115.63/claim|Median: $49.62
2.3× median
A0160Top 5%

$912K

5,881 claims · 6.0%

Your Cost: $155.01/claim|Median: $12.60
12.3× median
T2021Normal range

Day habilitation, waiver; per 15 min

$414K

2,961 claims · 2.7%

Your Cost: $139.73/claim|Median: $150.51
0.9× median
T2025Normal range

Waiver services, NOS; per 15 min

$108K

471 claims · 0.7%

Your Cost: $230.21/claim|Median: $124.39
1.9× median
92507Top 1%

Speech/hearing/language treatment

$9K

54 claims · 0.1%

Your Cost: $159.47/claim|Median: $49.45
3.2× median
T2024Normal range

Supported employment, waiver, per diem

$752

14 claims · 0.0%

Your Cost: $53.74/claim|Median: $259.38
0.2× median
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