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Provider 1689754046

NPI: 1689754046Share
Active Billing Period:2019-01→2024-11(67 months)

Total Paid

$13.0M

$13,006,713

Total Claims

2.3M

Beneficiaries

343K

6.7 claims/patient

Avg Cost/Claim

$6

Monthly Spending Trend

Yearly Spending

2019
$247K
+441%
2020
$1.3M
+359%
2021
$6.1M
-68%
2022
$2.0M
+66%
2023
$3.3M
-100%
2024
$256

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T2030 (Supported employment, job coaching, waiver, per diem)) accounts for 63% of total spending.

T2030Top 10%

Supported employment, job coaching, waiver, per diem

$8.2M

5,165 claims · 62.8%

Your Cost: $1,581.61/claim|Median: $1,184.47
1.3× median
T2031Top 25%

Waiver services, not otherwise specified

$2.2M

978 claims · 16.6%

Your Cost: $2,212.72/claim|Median: $853.15
2.6× median
A9999Normal range

$514K

5,312 claims · 4.0%

Your Cost: $96.75/claim|Median: $39.73
2.4× median
E1392Top 1%

$398K

3,145 claims · 3.1%

Your Cost: $126.67/claim|Median: $10.81
11.7× median
E1390Top 10%

Oxygen concentrator, single delivery port

$296K

2,871 claims · 2.3%

Your Cost: $103.08/claim|Median: $45.11
2.3× median
A0427Top 10%

Ambulance, ALS emergency transport Level 1

$221K

658 claims · 1.7%

Your Cost: $336.07/claim|Median: $164.22
2.0× median
S5161Normal range

Emergency response system, per month

$139K

7,942 claims · 1.1%

Your Cost: $17.49/claim|Median: $29.97
0.6× median
T2033Normal range

Residential care, NOS; per diem

$109K

74 claims · 0.8%

Your Cost: $1,470.29/claim|Median: $1,051.57
1.4× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$103K

1,740 claims · 0.8%

Your Cost: $58.93/claim|Median: $35.30
1.7× median
11719Top 5%

$96K

4,018 claims · 0.7%

Your Cost: $24.00/claim|Median: $1.95
12.3× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$85K

37K claims · 0.7%

Your Cost: $2.33/claim|Median: $37.81
0.1× median
E0466Top 1%

Home ventilator, any type, used with non-invasive interface

$48K

47 claims · 0.4%

Your Cost: $1,014.66/claim|Median: $317.50
3.2× median
E0439Top 25%

$42K

369 claims · 0.3%

Your Cost: $112.82/claim|Median: $56.10
2.0× median
A0428Top 5%

Ambulance service, BLS, non-emergency transport

$36K

153 claims · 0.3%

Your Cost: $238.51/claim|Median: $58.05
4.1× median
A0425Normal range

Ground mileage, per statute mile

$33K

1,551 claims · 0.3%

Your Cost: $21.42/claim|Median: $23.36
0.9× median
A0429Top 10%

Ambulance, BLS emergency transport

$31K

111 claims · 0.2%

Your Cost: $282.39/claim|Median: $138.19
2.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$30K

500 claims · 0.2%

Your Cost: $60.28/claim|Median: $63.08
1.0× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$27K

1,608 claims · 0.2%

Your Cost: $16.58/claim|Median: $9.87
1.7× median
82306Top 25%

Vitamin D, 25 hydroxy

$27K

942 claims · 0.2%

Your Cost: $28.23/claim|Median: $18.18
1.6× median
E0277Normal range

$26K

298 claims · 0.2%

Your Cost: $88.59/claim|Median: $92.82
1.0× median
E0434Normal range

$24K

1,091 claims · 0.2%

Your Cost: $22.27/claim|Median: $17.56
1.3× median
80053Normal range

Comprehensive metabolic panel

$21K

2,171 claims · 0.2%

Your Cost: $9.55/claim|Median: $7.24
1.3× median
99070Top 10%

$20K

388 claims · 0.2%

Your Cost: $52.61/claim|Median: $8.08
6.5× median
D9410Top 25%

$19K

216 claims · 0.1%

Your Cost: $86.96/claim|Median: $28.00
3.1× median
E0444Normal range

$18K

386 claims · 0.1%

Your Cost: $46.43/claim|Median: $46.55
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$17K

2,659 claims · 0.1%

Your Cost: $6.51/claim|Median: $4.71
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$17K

535 claims · 0.1%

Your Cost: $31.48/claim|Median: $39.70
0.8× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$17K

46 claims · 0.1%

Your Cost: $359.28/claim|Median: $57.39
6.3× median
E0431Top 25%

Portable gaseous oxygen system, rental

$16K

915 claims · 0.1%

Your Cost: $17.94/claim|Median: $10.37
1.7× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$15K

1,690 claims · 0.1%

Your Cost: $9.04/claim|Median: $5.50
1.6× median
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