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Provider 1699012799

NPI: 1699012799Share
Active Billing Period:2018-012024-09(80 months)

Extreme procedure concentration — 68% of $12.1M billed through just 2 codes

Total Paid

$12.1M

$12,050,406

Total Claims

42K

Beneficiaries

11K

3.8 claims/patient

Avg Cost/Claim

$290

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+48%
2019
$1.6M
-7%
2020
$1.5M
+22%
2021
$1.8M
-12%
2022
$1.6M
+65%
2023
$2.6M
-29%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (S5131 (Homemaker service, NOS, per diem)) accounts for 68% of total spending.

S5131Top 25%

Homemaker service, NOS, per diem

$8.2M

25K claims · 68.2%

Your Cost: $326.93/claim|Median: $102.01
3.2× median
S5130Top 10%

Homemaker service, NOS; per 15 min

$3.8M

16K claims · 31.8%

Your Cost: $233.58/claim|Median: $48.76
4.8× median