Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1780964692

NPI: 1780964692Share
Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 88% of $17.6M billed through just 2 codes

Total Paid

$17.6M

$17,640,185

Total Claims

230K

Beneficiaries

74K

3.1 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-1%
2019
$2.5M
-3%
2020
$2.4M
+6%
2021
$2.6M
-2%
2022
$2.5M
-4%
2023
$2.4M
+3%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 88% of total spending.

W7210Normal range

Waiver service, state-specific code

$15.6M

204K claims · 88.4%

Your Cost: $76.42/claim|Median: $80.31
1.0× median
T1017Normal range

Targeted case management, per 15 min

$2.0M

25K claims · 11.6%

Your Cost: $80.41/claim|Median: $69.56
1.2× median