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Provider 1760555619

NPI: 1760555619Share
Active Billing Period:2020-11→2024-11(49 months)

Total Paid

$11.6M

$11,574,697

Total Claims

99K

Beneficiaries

13K

7.7 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2020
$7K
+18500%
2021
$1.3M
+134%
2022
$3.0M
+23%
2023
$3.7M
-7%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 63% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$7.3M

3,330 claims · 63.5%

Your Cost: $2,206.92/claim|Median: $321.53
6.9× median
H2014Normal range

Skills training & development, per 15 min

$1.5M

43K claims · 12.6%

Your Cost: $34.42/claim|Median: $83.88
0.4× median
M0166Top 10%

$858K

5,629 claims · 7.4%

Your Cost: $152.44/claim|Median: $151.35
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$457K

3,815 claims · 4.0%

Your Cost: $119.90/claim|Median: $87.34
1.4× median
M0122Top 1%

$446K

6,153 claims · 3.9%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0116Normal range

$229K

6,903 claims · 2.0%

Your Cost: $33.18/claim|Median: $32.07
1.0× median
M0115Normal range

$200K

6,759 claims · 1.7%

Your Cost: $29.59/claim|Median: $29.58
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$181K

559 claims · 1.6%

Your Cost: $323.91/claim|Median: $24.34
13.3× median
M0372Normal range

$109K

12K claims · 0.9%

Your Cost: $8.75/claim|Median: $13.55
0.6× median
M0113Normal range

$74K

234 claims · 0.6%

Your Cost: $315.80/claim|Median: $397.30
0.8× median
M0299Normal range

$58K

2,755 claims · 0.5%

Your Cost: $20.93/claim|Median: $34.98
0.6× median
T1002Normal range

RN services, per 15 minutes

$48K

3,179 claims · 0.4%

Your Cost: $14.99/claim|Median: $37.42
0.4× median
M0118Normal range

$20K

508 claims · 0.2%

Your Cost: $38.45/claim|Median: $38.00
1.0× median
M0133Normal range

$17K

423 claims · 0.1%

Your Cost: $39.72/claim|Median: $84.70
0.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$17K

469 claims · 0.1%

Your Cost: $35.53/claim|Median: $84.12
0.4× median
M0315Normal range

$13K

524 claims · 0.1%

Your Cost: $25.34/claim|Median: $29.80
0.9× median
T1003Normal range

LPN/LVN services, per 15 minutes

$11K

946 claims · 0.1%

Your Cost: $11.65/claim|Median: $24.24
0.5× median
M0101Normal range

$9K

332 claims · 0.1%

Your Cost: $28.47/claim|Median: $65.66
0.4× median
M0298Normal range

$9K

828 claims · 0.1%

Your Cost: $10.65/claim|Median: $13.85
0.8× median
A9153Normal range

$5K

134 claims · 0.0%

Your Cost: $36.58/claim|Median: $45.63
0.8× median
M0248Normal range

$2K

603 claims · 0.0%

Your Cost: $3.12/claim|Median: $5.31
0.6× median
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