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Provider 1831217710

NPI: 1831217710Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$17.0M

$16,987,684

Total Claims

152K

Beneficiaries

13K

11.6 claims/patient

Avg Cost/Claim

$112

Monthly Spending Trend

Yearly Spending

2021
$2.3M
+111%
2022
$4.8M
+3%
2023
$5.0M
-2%
2024
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 67% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$11.5M

59K claims · 67.5%

Your Cost: $194.83/claim|Median: $321.53
0.6× median
M0150Normal range

$1.5M

9,133 claims · 8.7%

Your Cost: $161.70/claim|Median: $161.06
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.2M

27K claims · 7.0%

Your Cost: $44.01/claim|Median: $83.88
0.5× median
M0123Top 1%

$626K

8,224 claims · 3.7%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$520K

4,636 claims · 3.1%

Your Cost: $112.06/claim|Median: $87.34
1.3× median
M0116Normal range

$341K

10K claims · 2.0%

Your Cost: $33.10/claim|Median: $32.07
1.0× median
M0149Top 10%

$336K

2,130 claims · 2.0%

Your Cost: $157.80/claim|Median: $152.21
1.0× median
M0152Normal range

$250K

1,474 claims · 1.5%

Your Cost: $169.49/claim|Median: $174.64
1.0× median
M0115Top 25%

$178K

5,752 claims · 1.1%

Your Cost: $31.02/claim|Median: $29.58
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$137K

499 claims · 0.8%

Your Cost: $274.22/claim|Median: $24.34
11.3× median
T1003Normal range

LPN/LVN services, per 15 minutes

$122K

11K claims · 0.7%

Your Cost: $11.30/claim|Median: $24.24
0.5× median
M0118Normal range

$106K

2,705 claims · 0.6%

Your Cost: $39.25/claim|Median: $38.00
1.0× median
M0113Normal range

$63K

215 claims · 0.4%

Your Cost: $290.72/claim|Median: $397.30
0.7× median
T1002Normal range

RN services, per 15 minutes

$61K

1,881 claims · 0.4%

Your Cost: $32.22/claim|Median: $37.42
0.9× median
M0298Normal range

$59K

5,823 claims · 0.3%

Your Cost: $10.05/claim|Median: $13.85
0.7× median
M0299Normal range

$41K

1,925 claims · 0.2%

Your Cost: $21.45/claim|Median: $34.98
0.6× median
M0315Normal range

$15K

646 claims · 0.1%

Your Cost: $23.02/claim|Median: $29.80
0.8× median
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