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Provider 1689821860

NPI: 1689821860Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.9M

$17,861,168

Total Claims

177K

Beneficiaries

15K

11.6 claims/patient

Avg Cost/Claim

$101

Monthly Spending Trend

Yearly Spending

2018
$3.7M
+8%
2019
$4.0M
-7%
2020
$3.7M
-46%
2021
$2.0M
-34%
2022
$1.3M
+23%
2023
$1.6M
+1%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (T2026 (Specialized transportation, waiver, per trip)) accounts for 60% of total spending.

T2026Normal range

Specialized transportation, waiver, per trip

$10.7M

68K claims · 59.9%

Your Cost: $156.50/claim|Median: $170.05
0.9× median
S5125Normal range

Attendant care services, per 15 min

$3.2M

50K claims · 17.9%

Your Cost: $63.61/claim|Median: $82.34
0.8× median
97124Top 25%

$1.7M

22K claims · 9.7%

Your Cost: $77.86/claim|Median: $17.78
4.4× median
G0100Normal range

$609K

6,395 claims · 3.4%

Your Cost: $95.28/claim|Median: $82.82
1.2× median
T1005Normal range

Respite care services, per 15 minutes

$377K

5,374 claims · 2.1%

Your Cost: $70.17/claim|Median: $71.40
1.0× median
G0176Normal range

Activity therapy (group), per session

$329K

4,588 claims · 1.8%

Your Cost: $71.72/claim|Median: $85.09
0.8× median
T2016Top 25%

Habilitation, residential, waiver; per diem

$285K

286 claims · 1.6%

Your Cost: $996.24/claim|Median: $331.94
3.0× median
G0648Normal range

$280K

17K claims · 1.6%

Your Cost: $16.51/claim|Median: $13.92
1.2× median
H2032Top 25%

Activity therapy, per 15 minutes

$251K

1,216 claims · 1.4%

Your Cost: $206.31/claim|Median: $108.23
1.9× median
T2003Top 10%

Non-emergency transport; encounter/trip

$54K

531 claims · 0.3%

Your Cost: $102.03/claim|Median: $21.70
4.7× median
T1002Top 25%

RN services, per 15 minutes

$16K

200 claims · 0.1%

Your Cost: $80.57/claim|Median: $37.42
2.2× median
S5199Top 5%

Personal care item, NOS, each

$11K

74 claims · 0.1%

Your Cost: $155.09/claim|Median: $10.82
14.3× median
T1019Normal range

Personal care services, per 15 min

$9K

200 claims · 0.0%

Your Cost: $42.81/claim|Median: $82.47
0.5× median
D9999Top 10%

Unspecified adjunctive procedure, by report

$8K

25 claims · 0.0%

Your Cost: $327.73/claim|Median: $37.60
8.7× median
S8940Normal range

$3K

39 claims · 0.0%

Your Cost: $89.01/claim|Median: $95.40
0.9× median
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