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

⚖️ Compare🖨️ Print Report

Provider 1700926987

NPI: 1700926987Share
Active Billing Period:2020-12→2024-12(48 months)

Total Paid

$14.4M

$14,356,968

Total Claims

87K

Beneficiaries

12K

7.3 claims/patient

Avg Cost/Claim

$165

Monthly Spending Trend

Yearly Spending

2020
$4K
+61080%
2021
$2.3M
+81%
2022
$4.1M
-3%
2023
$4.0M
+0%
2024
$4.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 64% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$9.1M

13K claims · 63.6%

Your Cost: $702.78/claim|Median: $321.53
2.2× median
M0167Normal range

$1.3M

8,365 claims · 9.4%

Your Cost: $161.21/claim|Median: $158.84
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.2M

24K claims · 8.2%

Your Cost: $47.84/claim|Median: $83.88
0.6× median
M0169Normal range

$817K

4,663 claims · 5.7%

Your Cost: $175.18/claim|Median: $165.94
1.1× median
T2020Normal range

Day habilitation, waiver; per diem

$476K

6,946 claims · 3.3%

Your Cost: $68.55/claim|Median: $87.34
0.8× median
M0123Top 1%

$463K

6,087 claims · 3.2%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0116Top 25%

$330K

9,778 claims · 2.3%

Your Cost: $33.77/claim|Median: $32.07
1.1× median
M0118Normal range

$216K

5,478 claims · 1.5%

Your Cost: $39.43/claim|Median: $38.00
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$84K

226 claims · 0.6%

Your Cost: $370.72/claim|Median: $24.34
15.2× median
T1002Top 25%

RN services, per 15 minutes

$78K

860 claims · 0.5%

Your Cost: $90.41/claim|Median: $37.42
2.4× median
M0113Normal range

$57K

138 claims · 0.4%

Your Cost: $416.12/claim|Median: $397.30
1.0× median
A9153Normal range

$50K

753 claims · 0.3%

Your Cost: $65.78/claim|Median: $45.63
1.4× median
M0101Normal range

$49K

618 claims · 0.3%

Your Cost: $80.08/claim|Median: $65.66
1.2× median
M0299Top 25%

$30K

478 claims · 0.2%

Your Cost: $62.92/claim|Median: $34.98
1.8× median
T1003Normal range

LPN/LVN services, per 15 minutes

$22K

2,360 claims · 0.2%

Your Cost: $9.30/claim|Median: $24.24
0.4× median
M0490Top 1%

$15K

91 claims · 0.1%

Your Cost: $169.49/claim|Median: $159.49
1.1× median
M0298Normal range

$10K

1,141 claims · 0.1%

Your Cost: $9.15/claim|Median: $13.85
0.7× median
M0248Normal range

$7K

1,283 claims · 0.0%

Your Cost: $5.51/claim|Median: $5.31
1.0× median
M0315Normal range

$6K

197 claims · 0.0%

Your Cost: $29.99/claim|Median: $29.80
1.0× median
← All providersHow we detect fraud →