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Provider 1750542478

NPI: 1750542478Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,144,468

Total Claims

75K

Beneficiaries

6,795

11.1 claims/patient

Avg Cost/Claim

$175

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-18%
2019
$2.0M
-39%
2020
$1.2M
+41%
2021
$1.7M
-3%
2022
$1.7M
+24%
2023
$2.1M
-10%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2021 (Day habilitation, waiver; per 15 min)) accounts for 44% of total spending.

T2021Normal range

Day habilitation, waiver; per 15 min

$5.8M

37K claims · 44.0%

Your Cost: $155.53/claim|Median: $150.51
1.0× median
W0715Normal range

$4.5M

12K claims · 34.4%

Your Cost: $387.78/claim|Median: $441.83
0.9× median
S5125Normal range

Attendant care services, per 15 min

$1.1M

12K claims · 8.4%

Your Cost: $93.93/claim|Median: $82.34
1.1× median
W0200Normal range

$742K

566 claims · 5.6%

Your Cost: $1,310.50/claim|Median: $1,957.11
0.7× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$434K

9,886 claims · 3.3%

Your Cost: $43.90/claim|Median: $88.91
0.5× median
W0655Top 1%

$186K

968 claims · 1.4%

Your Cost: $191.91/claim|Median: $84.24
2.3× median
W0705Normal range

$152K

1,705 claims · 1.2%

Your Cost: $89.02/claim|Median: $115.86
0.8× median
W0630Top 1%

$128K

287 claims · 1.0%

Your Cost: $446.08/claim|Median: $446.08
1.0× median
S5150Normal range

Unskilled respite care, per 15 min

$92K

1,057 claims · 0.7%

Your Cost: $86.81/claim|Median: $84.46
1.0× median
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