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Provider 1861527012

NPI: 1861527012Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.6M

$14,572,208

Total Claims

117K

Beneficiaries

35K

3.4 claims/patient

Avg Cost/Claim

$124

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-73%
2019
$329K
+379%
2020
$1.6M
+58%
2021
$2.5M
+14%
2022
$2.8M
+11%
2023
$3.1M
-6%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (G0151 (Physical therapy services, home health, per visit)) accounts for 36% of total spending.

G0151Top 25%

Physical therapy services, home health, per visit

$5.2M

41K claims · 35.9%

Your Cost: $128.00/claim|Median: $67.94
1.9× median
G0299Top 10%

Skilled nursing services, home health, per visit, RN

$4.6M

36K claims · 31.9%

Your Cost: $130.08/claim|Median: $51.67
2.5× median
G0300Top 25%

Skilled nursing services, home health, per visit, LPN

$3.6M

27K claims · 24.4%

Your Cost: $133.24/claim|Median: $45.50
2.9× median
G0152Normal range

Occupational therapy services, home health, per visit

$608K

5,787 claims · 4.2%

Your Cost: $105.10/claim|Median: $68.93
1.5× median
G0155Top 25%

Services of clinical social worker in home health, per 15 min

$181K

1,551 claims · 1.2%

Your Cost: $116.89/claim|Median: $7.04
16.6× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$110K

749 claims · 0.8%

Your Cost: $146.33/claim|Median: $106.70
1.4× median
99344Top 25%

$92K

524 claims · 0.6%

Your Cost: $176.51/claim|Median: $50.43
3.5× median
G0153Normal range

Services of SLP in home health, per 15 min

$75K

700 claims · 0.5%

Your Cost: $107.60/claim|Median: $101.43
1.1× median
A0425Normal range

Ground mileage, per statute mile

$43K

857 claims · 0.3%

Your Cost: $50.36/claim|Median: $23.36
2.2× median
G0162Top 5%

Skilled services by RN in home health, per 15 min

$11K

78 claims · 0.1%

Your Cost: $143.21/claim|Median: $59.83
2.4× median
G0157Top 25%

Services of PT assistant in home health, per 15 min

$8K

71 claims · 0.1%

Your Cost: $110.28/claim|Median: $43.94
2.5× median
1160FNormal range

$0

464 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
3078FNormal range

$0

316 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
1159FNormal range

$0

465 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
3079FNormal range

$0

82 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
3080FNormal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
0270Normal range

$0

110 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
1170FNormal range

$0

474 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
1125FNormal range

$0

141 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
3074FNormal range

$0

192 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
S0257Normal range

$0

474 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.30
3075FNormal range

$0

107 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
1126FNormal range

$0

308 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
3077FNormal range

$0

123 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$0

114 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43
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