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Provider 1851307375

NPI: 1851307375Share
Active Billing Period:2019-11→2024-10(60 months)

Total Paid

$10.9M

$10,949,057

Total Claims

39K

Beneficiaries

4,200

9.3 claims/patient

Avg Cost/Claim

$279

Monthly Spending Trend

Yearly Spending

2019
$181K
+800%
2020
$1.6M
+22%
2021
$2.0M
+15%
2022
$2.3M
+19%
2023
$2.7M
-22%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T2021 (Day habilitation, waiver; per 15 min)) accounts for 50% of total spending.

T2021Normal range

Day habilitation, waiver; per 15 min

$5.5M

20K claims · 50.2%

Your Cost: $271.79/claim|Median: $150.51
1.8× median
99509Top 5%

Home visit, assistance w/ ADLs

$5.2M

15K claims · 47.2%

Your Cost: $351.50/claim|Median: $51.71
6.8× median
S5100Normal range

Day care services, adult, per half day

$84K

1,298 claims · 0.8%

Your Cost: $65.01/claim|Median: $67.58
1.0× median
S5135Normal range

Companion care, adult, per diem

$83K

1,196 claims · 0.8%

Your Cost: $69.05/claim|Median: $52.25
1.3× median
S5115Normal range

Home modifications, per service

$77K

1,689 claims · 0.7%

Your Cost: $45.51/claim|Median: $62.72
0.7× median
T2033Top 25%

Residential care, NOS; per diem

$39K

12 claims · 0.4%

Your Cost: $3,256.03/claim|Median: $1,051.57
3.1× median
S5111Normal range

Home care training, family member, per session

$2K

53 claims · 0.0%

Your Cost: $36.20/claim|Median: $87.13
0.4× median
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