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

Provider 1699032151

NPI: 1699032151Share
Active Billing Period:2018-012024-11(83 months)

Extreme procedure concentration — 73% of $15.5M billed through just 2 codes

Total Paid

$15.5M

$15,480,270

Total Claims

203K

Beneficiaries

11K

18.0 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-2%
2019
$2.2M
+0%
2020
$2.3M
+7%
2021
$2.4M
-14%
2022
$2.1M
+1%
2023
$2.1M
+1%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (S5102 (Day care services, adult; per 15 min)) accounts for 73% of total spending.

S5102Normal range

Day care services, adult; per 15 min

$11.3M

130K claims · 72.9%

Your Cost: $86.90/claim|Median: $81.10
1.1× median
W5102Normal range

Waiver service, state-specific code

$4.2M

73K claims · 27.1%

Your Cost: $57.73/claim|Median: $62.73
0.9× median