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Provider 1831315522

NPI: 1831315522Share
Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 73% of $12.7M billed through just 2 codes

Total Paid

$12.7M

$12,730,642

Total Claims

165K

Beneficiaries

8,509

19.4 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-4%
2019
$1.6M
+17%
2020
$1.9M
-3%
2021
$1.8M
-2%
2022
$1.8M
+13%
2023
$2.0M
-5%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (S5102 (Day care services, adult; per 15 min)) accounts for 73% of total spending.

S5102Normal range

Day care services, adult; per 15 min

$9.3M

109K claims · 73.1%

Your Cost: $85.44/claim|Median: $81.10
1.1× median
W5102Normal range

Waiver service, state-specific code

$3.4M

56K claims · 26.9%

Your Cost: $61.09/claim|Median: $62.73
1.0× median