Active Billing Period:2018-10→2024-11(65 months)
Extreme procedure concentration — 100% of $19.0M billed through a single code
Total Paid
$19.0M
$19,031,238
Total Claims
1,858
Beneficiaries
1,614
1.2 claims/patient
Avg Cost/Claim
$10K
Monthly Spending Trend
Yearly Spending
2018
$158K
+648%
2019
$1.2M
+79%
2020
$2.1M
+25%
2021
$2.7M
+59%
2022
$4.2M
+22%
2023
$5.1M
-31%
2024
$3.6M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 1 distinct procedure code. The top code (S5165 (Home modifications, per service)) accounts for 100% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$19.0M
1,858 claims
$10,242.86
$2,196.32
4.7×
Top 5%
S5165Top 5%
Home modifications, per service
$19.0M
1,858 claims · 100.0%
Your Cost: $10,242.86/claim|Median: $2,196.32
4.7× median