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

⚖️ Compare🖨️ Print Report

Provider 1699122341

NPI: 1699122341Share
Active Billing Period:2019-07→2024-11(65 months)

Total Paid

$17.7M

$17,709,187

Total Claims

159K

Beneficiaries

70K

2.3 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2019
$2.6M
+28%
2020
$3.3M
-26%
2021
$2.5M
-59%
2022
$1.0M
+6%
2023
$1.1M
+560%
2024
$7.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (G9008 (Coordination of long-term care services, per month)) accounts for 48% of total spending.

G9008Normal range

Coordination of long-term care services, per month

$8.5M

67K claims · 47.8%

Your Cost: $127.22/claim|Median: $66.78
1.9× median
G9012Normal range

Other specified case management service, per 15 minutes

$6.3M

59K claims · 35.7%

Your Cost: $106.48/claim|Median: $137.85
0.8× median
T1019Normal range

Personal care services, per 15 min

$2.1M

18K claims · 11.9%

Your Cost: $120.07/claim|Median: $82.47
1.5× median
S9125Normal range

Respite care, in the home, per diem

$563K

8,527 claims · 3.2%

Your Cost: $65.99/claim|Median: $187.28
0.4× median
S5130Normal range

Homemaker service, NOS; per 15 min

$165K

2,819 claims · 0.9%

Your Cost: $58.36/claim|Median: $48.76
1.2× median
S5151Normal range

Unskilled respite care, per diem

$61K

1,837 claims · 0.3%

Your Cost: $33.36/claim|Median: $249.18
0.1× median
S0315Normal range

$16K

148 claims · 0.1%

Your Cost: $106.84/claim|Median: $37.40
2.9× median
S5190Normal range

Wellness assessment, performed by non-physician

$6K

1,360 claims · 0.0%

Your Cost: $4.12/claim|Median: $33.67
0.1× median
H2022Normal range

Community-based wrap-around services, per diem

$0

780 claims · 0.0%

Your Cost: $0.00/claim|Median: $336.31
← All providersHow we detect fraud →