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Provider 1740214709

NPI: 1740214709Share
Active Billing Period:2018-012024-11(81 months)

Extreme procedure concentration — 74% of $16.5M billed through just 2 codes

Total Paid

$16.5M

$16,464,967

Total Claims

47K

Beneficiaries

3,968

11.9 claims/patient

Avg Cost/Claim

$347

Monthly Spending Trend

Yearly Spending

2018
$4.7M
-32%
2019
$3.2M
-41%
2020
$1.9M
+19%
2021
$2.2M
-35%
2022
$1.4M
+21%
2023
$1.7M
-20%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1026 (Waiver services, NOS, per diem)) accounts for 74% of total spending.

T1026Top 25%

Waiver services, NOS, per diem

$12.2M

33K claims · 74.1%

Your Cost: $367.77/claim|Median: $146.05
2.5× median
Z5868Top 25%

$4.3M

14K claims · 25.9%

Your Cost: $299.50/claim|Median: $241.19
1.2× median