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Provider 1659516433

NPI: 1659516433Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$9.4M

$9,439,515

Total Claims

61K

Beneficiaries

6,054

10.1 claims/patient

Avg Cost/Claim

$154

Monthly Spending Trend

Yearly Spending

2021
$1.3M
+107%
2022
$2.6M
+2%
2023
$2.6M
+12%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 40% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$3.8M

7,068 claims · 40.3%

Your Cost: $538.38/claim|Median: $321.53
1.7× median
T2016Normal range

Habilitation, residential, waiver; per diem

$2.2M

19K claims · 23.6%

Your Cost: $116.66/claim|Median: $331.94
0.4× median
M0360Normal range

$929K

8,191 claims · 9.8%

Your Cost: $113.40/claim|Median: $102.43
1.1× median
S5150Top 25%

Unskilled respite care, per 15 min

$917K

6,467 claims · 9.7%

Your Cost: $141.84/claim|Median: $84.46
1.7× median
M0123Top 1%

$471K

6,190 claims · 5.0%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
H2014Normal range

Skills training & development, per 15 min

$393K

7,867 claims · 4.2%

Your Cost: $50.02/claim|Median: $83.88
0.6× median
M0240Normal range

$393K

2,575 claims · 4.2%

Your Cost: $152.75/claim|Median: $141.71
1.1× median
T2020Normal range

Day habilitation, waiver; per diem

$197K

1,385 claims · 2.1%

Your Cost: $142.29/claim|Median: $87.34
1.6× median
T1002Normal range

RN services, per 15 minutes

$60K

1,384 claims · 0.6%

Your Cost: $43.20/claim|Median: $37.42
1.2× median
M0299Normal range

$33K

735 claims · 0.4%

Your Cost: $45.31/claim|Median: $34.98
1.3× median
M0116Top 1%

$10K

249 claims · 0.1%

Your Cost: $40.14/claim|Median: $32.07
1.3× median
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