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Provider 1710188396

NPI: 1710188396Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$9.8M

$9,835,884

Total Claims

61K

Beneficiaries

4,339

14.0 claims/patient

Avg Cost/Claim

$162

Monthly Spending Trend

Yearly Spending

2021
$1.6M
+84%
2022
$2.9M
+0%
2023
$2.9M
-19%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 51% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$5.0M

7,013 claims · 50.8%

Your Cost: $712.58/claim|Median: $321.53
2.2× median
H2026Normal range

$1.4M

13K claims · 13.8%

Your Cost: $101.41/claim|Median: $76.18
1.3× median
M0354Top 10%

$979K

6,830 claims · 10.0%

Your Cost: $143.36/claim|Median: $90.61
1.6× median
M0347Top 1%

$816K

6,215 claims · 8.3%

Your Cost: $131.33/claim|Median: $35.62
3.7× median
T2016Normal range

Habilitation, residential, waiver; per diem

$481K

3,597 claims · 4.9%

Your Cost: $133.81/claim|Median: $331.94
0.4× median
H2014Normal range

Skills training & development, per 15 min

$399K

10K claims · 4.1%

Your Cost: $38.49/claim|Median: $83.88
0.5× median
M0123Top 1%

$383K

5,033 claims · 3.9%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$222K

2,196 claims · 2.3%

Your Cost: $100.93/claim|Median: $87.34
1.2× median
M0116Normal range

$142K

4,448 claims · 1.4%

Your Cost: $32.01/claim|Median: $32.07
1.0× median
M0122Top 1%

$25K

338 claims · 0.2%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0115Normal range

$23K

817 claims · 0.2%

Your Cost: $28.13/claim|Median: $29.58
1.0× median
M0372Top 1%

$9K

254 claims · 0.1%

Your Cost: $36.46/claim|Median: $13.55
2.7× median
T1003Normal range

LPN/LVN services, per 15 minutes

$2K

251 claims · 0.0%

Your Cost: $7.24/claim|Median: $24.24
0.3× median
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