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Provider 1689727133

NPI: 1689727133Share
Active Billing Period:2020-12→2024-11(48 months)

Total Paid

$9.7M

$9,721,057

Total Claims

82K

Beneficiaries

13K

6.5 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2020
$2K
+124613%
2021
$1.9M
+64%
2022
$3.1M
-7%
2023
$2.9M
-36%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 62% of total spending.

H2016Top 10%

Comprehensive community support services, per 15 min

$6.0M

2,194 claims · 61.6%

Your Cost: $2,730.47/claim|Median: $321.53
8.5× median
M0122Top 1%

$970K

13K claims · 10.0%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0123Top 1%

$920K

12K claims · 9.5%

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

Skills training & development, per 15 min

$606K

23K claims · 6.2%

Your Cost: $26.17/claim|Median: $83.88
0.3× median
T2020Top 10%

Day habilitation, waiver; per diem

$377K

699 claims · 3.9%

Your Cost: $539.30/claim|Median: $87.34
6.2× median
M0115Top 25%

$275K

8,890 claims · 2.8%

Your Cost: $30.95/claim|Median: $29.58
1.0× median
M0116Top 25%

$261K

7,667 claims · 2.7%

Your Cost: $34.00/claim|Median: $32.07
1.1× median
T1002Normal range

RN services, per 15 minutes

$92K

2,611 claims · 0.9%

Your Cost: $35.34/claim|Median: $37.42
0.9× median
M0113Normal range

$56K

183 claims · 0.6%

Your Cost: $307.96/claim|Median: $397.30
0.8× median
T1003Normal range

LPN/LVN services, per 15 minutes

$41K

4,194 claims · 0.4%

Your Cost: $9.87/claim|Median: $24.24
0.4× median
M0299Normal range

$37K

1,473 claims · 0.4%

Your Cost: $24.93/claim|Median: $34.98
0.7× median
D0120Top 1%

Periodic oral evaluation, established patient

$28K

66 claims · 0.3%

Your Cost: $419.56/claim|Median: $24.34
17.2× median
M0298Normal range

$16K

1,819 claims · 0.2%

Your Cost: $8.61/claim|Median: $13.85
0.6× median
M0315Normal range

$16K

553 claims · 0.2%

Your Cost: $28.19/claim|Median: $29.80
0.9× median
M0101Normal range

$15K

337 claims · 0.2%

Your Cost: $43.29/claim|Median: $65.66
0.7× median
M0372Normal range

$13K

1,677 claims · 0.1%

Your Cost: $7.99/claim|Median: $13.55
0.6× median
A9153Normal range

$5K

141 claims · 0.1%

Your Cost: $36.01/claim|Median: $45.63
0.8× median
M0248Normal range

$2K

484 claims · 0.0%

Your Cost: $4.22/claim|Median: $5.31
0.8× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$634

13 claims · 0.0%

Your Cost: $48.77/claim|Median: $300.16
0.2× median
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