Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1689944720

NPI: 1689944720Share
Active Billing Period:2018-012024-10(82 months)

Total Paid

$12.8M

$12,779,321

Total Claims

205K

Beneficiaries

62K

3.3 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+1%
2019
$1.1M
-7%
2020
$1.0M
+38%
2021
$1.4M
+69%
2022
$2.3M
+30%
2023
$3.0M
-5%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 93% of total spending.

T1016Normal range

Case management, each 15 min

$11.9M

198K claims · 93.0%

Your Cost: $60.01/claim|Median: $49.62
1.2× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$409K

3,793 claims · 3.2%

Your Cost: $107.76/claim|Median: $28.63
3.8× median
A9999Normal range

$232K

2,311 claims · 1.8%

Your Cost: $100.32/claim|Median: $39.73
2.5× median
T2037Normal range

$121K

247 claims · 0.9%

Your Cost: $490.05/claim|Median: $304.73
1.6× median
T2028Normal range

Specialized supply, NOS; per unit

$81K

639 claims · 0.6%

Your Cost: $126.93/claim|Median: $79.30
1.6× median
H0042Normal range

$33K

39 claims · 0.3%

Your Cost: $851.51/claim|Median: $802.17
1.1× median
S5145Normal range

Foster care, therapeutic, child, per diem

$24K

366 claims · 0.2%

Your Cost: $65.97/claim|Median: $216.31
0.3× median