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

⚖️ Compare🖨️ Print Report

Provider 1801940929

NPI: 1801940929Share
Active Billing Period:2021-01→2024-11(47 months)

Total Paid

$18.0M

$18,010,256

Total Claims

154K

Beneficiaries

17K

9.3 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2021
$3.4M
+45%
2022
$5.0M
-1%
2023
$4.9M
-4%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 54% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$9.8M

5,713 claims · 54.4%

Your Cost: $1,714.19/claim|Median: $321.53
5.3× median
M0150Normal range

$1.3M

8,216 claims · 7.3%

Your Cost: $160.88/claim|Median: $161.06
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.3M

46K claims · 7.2%

Your Cost: $28.40/claim|Median: $83.88
0.3× median
T2016Normal range

Habilitation, residential, waiver; per diem

$916K

11K claims · 5.1%

Your Cost: $83.60/claim|Median: $331.94
0.3× median
M0122Top 1%

$901K

12K claims · 5.0%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0123Top 1%

$784K

10K claims · 4.4%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0125Top 1%

$628K

6,672 claims · 3.5%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$471K

6,078 claims · 2.6%

Your Cost: $77.50/claim|Median: $87.34
0.9× median
M0116Normal range

$308K

11K claims · 1.7%

Your Cost: $28.93/claim|Median: $32.07
0.9× median
M0115Normal range

$217K

7,888 claims · 1.2%

Your Cost: $27.50/claim|Median: $29.58
0.9× median
T1002Normal range

RN services, per 15 minutes

$206K

9,120 claims · 1.1%

Your Cost: $22.63/claim|Median: $37.42
0.6× median
M0360Normal range

$191K

1,699 claims · 1.1%

Your Cost: $112.26/claim|Median: $102.43
1.1× median
D0120Top 1%

Periodic oral evaluation, established patient

$178K

670 claims · 1.0%

Your Cost: $266.08/claim|Median: $24.34
10.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$157K

2,176 claims · 0.9%

Your Cost: $72.23/claim|Median: $84.12
0.9× median
M0354Normal range

$133K

1,599 claims · 0.7%

Your Cost: $82.98/claim|Median: $90.61
0.9× median
M0299Normal range

$89K

2,876 claims · 0.5%

Your Cost: $30.98/claim|Median: $34.98
0.9× median
M0201Top 25%

$79K

2,694 claims · 0.4%

Your Cost: $29.36/claim|Median: $18.33
1.6× median
T2025Normal range

Waiver services, NOS; per 15 min

$70K

1,032 claims · 0.4%

Your Cost: $67.76/claim|Median: $124.39
0.5× median
M0133Normal range

$70K

907 claims · 0.4%

Your Cost: $76.90/claim|Median: $84.70
0.9× median
M0113Normal range

$42K

177 claims · 0.2%

Your Cost: $237.99/claim|Median: $397.30
0.6× median
M0118Normal range

$39K

997 claims · 0.2%

Your Cost: $39.26/claim|Median: $38.00
1.0× median
M0372Normal range

$35K

2,657 claims · 0.2%

Your Cost: $13.20/claim|Median: $13.55
1.0× median
M0101Normal range

$23K

387 claims · 0.1%

Your Cost: $59.68/claim|Median: $65.66
0.9× median
S5199Top 25%

Personal care item, NOS, each

$16K

278 claims · 0.1%

Your Cost: $56.41/claim|Median: $10.82
5.2× median
S5150Top 25%

Unskilled respite care, per 15 min

$14K

87 claims · 0.1%

Your Cost: $158.34/claim|Median: $84.46
1.9× median
M0315Normal range

$12K

622 claims · 0.1%

Your Cost: $19.56/claim|Median: $29.80
0.7× median
M0248Normal range

$6K

924 claims · 0.0%

Your Cost: $6.27/claim|Median: $5.31
1.2× median
T1003Normal range

LPN/LVN services, per 15 minutes

$4K

225 claims · 0.0%

Your Cost: $17.62/claim|Median: $24.24
0.7× median
M0419Normal range

$1K

103 claims · 0.0%

Your Cost: $14.31/claim|Median: $12.20
1.2× median
A9153Normal range

$1K

16 claims · 0.0%

Your Cost: $63.02/claim|Median: $45.63
1.4× median
← All providersHow we detect fraud →