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Provider 1659491751

NPI: 1659491751Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$11.3M

$11,325,821

Total Claims

88K

Beneficiaries

30K

3.0 claims/patient

Avg Cost/Claim

$128

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+13%
2019
$1.8M
-12%
2020
$1.6M
+4%
2021
$1.6M
+3%
2022
$1.7M
+12%
2023
$1.9M
-32%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 41% of total spending.

T1016Top 25%

Case management, each 15 min

$4.6M

33K claims · 40.6%

Your Cost: $138.43/claim|Median: $49.62
2.8× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$3.2M

14K claims · 28.2%

Your Cost: $228.86/claim|Median: $162.29
1.4× median
T2021Normal range

Day habilitation, waiver; per 15 min

$2.2M

21K claims · 19.6%

Your Cost: $107.67/claim|Median: $150.51
0.7× median
S5125Normal range

Attendant care services, per 15 min

$897K

11K claims · 7.9%

Your Cost: $79.81/claim|Median: $82.34
1.0× median
S5102Normal range

Day care services, adult; per 15 min

$207K

5,619 claims · 1.8%

Your Cost: $36.89/claim|Median: $81.10
0.5× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$57K

840 claims · 0.5%

Your Cost: $67.59/claim|Median: $89.79
0.8× median
A4554Normal range

Disposable underpads, all sizes

$55K

1,290 claims · 0.5%

Your Cost: $42.32/claim|Median: $37.02
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$26K

400 claims · 0.2%

Your Cost: $65.78/claim|Median: $88.94
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$26K

297 claims · 0.2%

Your Cost: $86.31/claim|Median: $105.14
0.8× median
T4527Normal range

Adult-sized disposable incontinence product, large

$21K

296 claims · 0.2%

Your Cost: $69.26/claim|Median: $99.53
0.7× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$15K

351 claims · 0.1%

Your Cost: $42.03/claim|Median: $42.03
1.0× median
B4154Normal range

$9K

123 claims · 0.1%

Your Cost: $69.25/claim|Median: $132.96
0.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$1K

12 claims · 0.0%

Your Cost: $95.37/claim|Median: $92.20
1.0× median