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Provider 1790027316

NPI: 1790027316Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.1M

$18,054,334

Total Claims

126K

Beneficiaries

7,041

17.9 claims/patient

Avg Cost/Claim

$143

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+14%
2019
$2.1M
+9%
2020
$2.2M
-1%
2021
$2.2M
+14%
2022
$2.5M
+77%
2023
$4.5M
-40%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 66% of total spending.

T2013Normal range

Habilitation, residential, waiver, per hour

$12.0M

78K claims · 66.2%

Your Cost: $153.77/claim|Median: $158.23
1.0× median
T2012Normal range

Habilitation, educational; per 15 min

$4.3M

28K claims · 24.0%

Your Cost: $154.94/claim|Median: $177.54
0.9× median
S5150Normal range

Unskilled respite care, per 15 min

$1.3M

15K claims · 7.1%

Your Cost: $84.05/claim|Median: $84.46
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$433K

4,624 claims · 2.4%

Your Cost: $93.69/claim|Median: $96.24
1.0× median
T2013TFNormal range

$52K

310 claims · 0.3%

Your Cost: $167.42/claim|Median: $168.77
1.0× median