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Provider 1740426394

NPI: 1740426394Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$7.6M

$7,640,709

Total Claims

39K

Beneficiaries

4,377

8.8 claims/patient

Avg Cost/Claim

$198

Monthly Spending Trend

Yearly Spending

2021
$640K
+206%
2022
$2.0M
+29%
2023
$2.5M
+0%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 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

$3.9M

5,011 claims · 51.0%

Your Cost: $777.74/claim|Median: $321.53
2.4× median
T2016Normal range

Habilitation, residential, waiver; per diem

$1.5M

12K claims · 20.2%

Your Cost: $127.24/claim|Median: $331.94
0.4× median
M0360Top 5%

$627K

4,443 claims · 8.2%

Your Cost: $141.20/claim|Median: $102.43
1.4× median
S5150Normal range

Unskilled respite care, per 15 min

$590K

4,217 claims · 7.7%

Your Cost: $139.92/claim|Median: $84.46
1.7× median
H2014Normal range

Skills training & development, per 15 min

$450K

8,274 claims · 5.9%

Your Cost: $54.44/claim|Median: $83.88
0.6× median
M0240Top 25%

$250K

1,428 claims · 3.3%

Your Cost: $174.93/claim|Median: $141.71
1.2× median
T2020Top 25%

Day habilitation, waiver; per diem

$160K

674 claims · 2.1%

Your Cost: $237.06/claim|Median: $87.34
2.7× median
T1002Normal range

RN services, per 15 minutes

$47K

770 claims · 0.6%

Your Cost: $61.27/claim|Median: $37.42
1.6× median
M0116Normal range

$36K

1,082 claims · 0.5%

Your Cost: $33.44/claim|Median: $32.07
1.0× median
M0299Normal range

$25K

597 claims · 0.3%

Your Cost: $41.65/claim|Median: $34.98
1.2× median
D0120Top 1%

Periodic oral evaluation, established patient

$11K

14 claims · 0.1%

Your Cost: $758.66/claim|Median: $24.34
31.2× median
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