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Provider 1689758328

NPI: 1689758328Share
Active Billing Period:2018-012024-12(83 months)

Extreme procedure concentration — 98% of $11.8M billed through just 2 codes

Total Paid

$11.8M

$11,790,852

Total Claims

56K

Beneficiaries

4,544

12.3 claims/patient

Avg Cost/Claim

$211

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+15%
2019
$2.2M
-39%
2020
$1.4M
-22%
2021
$1.1M
+39%
2022
$1.5M
+36%
2023
$2.0M
-13%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1025 (Waiver services, NOS, per 15 minutes)) accounts for 98% of total spending.

T1025Normal range

Waiver services, NOS, per 15 minutes

$11.5M

54K claims · 97.9%

Your Cost: $214.93/claim|Median: $227.80
0.9× median
T1026Normal range

Waiver services, NOS, per diem

$253K

2,135 claims · 2.1%

Your Cost: $118.41/claim|Median: $146.05
0.8× median