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Provider 1861601320

NPI: 1861601320Share
Active Billing Period:2020-03→2024-12(50 months)

Total Paid

$17.9M

$17,855,144

Total Claims

201K

Beneficiaries

15K

13.4 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2020
$5K
+57262%
2021
$2.6M
+103%
2022
$5.4M
-1%
2023
$5.3M
-15%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 65% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$11.6M

85K claims · 65.2%

Your Cost: $137.43/claim|Median: $321.53
0.4× median
M0150Normal range

$1.4M

8,769 claims · 7.9%

Your Cost: $161.20/claim|Median: $161.06
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.4M

33K claims · 7.7%

Your Cost: $41.98/claim|Median: $83.88
0.5× median
M0123Top 1%

$766K

10K claims · 4.3%

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

Day habilitation, waiver; per diem

$617K

12K claims · 3.5%

Your Cost: $53.34/claim|Median: $87.34
0.6× median
M0122Normal range

$576K

7,945 claims · 3.2%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0116Normal range

$378K

12K claims · 2.1%

Your Cost: $31.35/claim|Median: $32.07
1.0× median
T1002Normal range

RN services, per 15 minutes

$246K

11K claims · 1.4%

Your Cost: $23.44/claim|Median: $37.42
0.6× median
M0118Normal range

$204K

5,370 claims · 1.1%

Your Cost: $38.03/claim|Median: $38.00
1.0× median
M0152Normal range

$153K

905 claims · 0.9%

Your Cost: $169.49/claim|Median: $174.64
1.0× median
M0115Normal range

$140K

4,821 claims · 0.8%

Your Cost: $29.06/claim|Median: $29.58
1.0× median
M0299Normal range

$130K

4,568 claims · 0.7%

Your Cost: $28.48/claim|Median: $34.98
0.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$67K

929 claims · 0.4%

Your Cost: $72.49/claim|Median: $84.12
0.9× median
M0133Normal range

$44K

523 claims · 0.2%

Your Cost: $84.70/claim|Median: $84.70
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$24K

1,984 claims · 0.1%

Your Cost: $12.27/claim|Median: $24.24
0.5× median
M0101Normal range

$23K

320 claims · 0.1%

Your Cost: $70.54/claim|Median: $65.66
1.1× median
A9153Normal range

$18K

905 claims · 0.1%

Your Cost: $20.39/claim|Median: $45.63
0.4× median
M0298Normal range

$13K

1,105 claims · 0.1%

Your Cost: $11.44/claim|Median: $13.85
0.8× median
M0113Normal range

$12K

40 claims · 0.1%

Your Cost: $297.97/claim|Median: $397.30
0.7× median
D0120Top 1%

Periodic oral evaluation, established patient

$4K

15 claims · 0.0%

Your Cost: $235.00/claim|Median: $24.34
9.7× median
M0248Normal range

$3K

1,093 claims · 0.0%

Your Cost: $3.03/claim|Median: $5.31
0.6× median
M0315Normal range

$1K

52 claims · 0.0%

Your Cost: $25.62/claim|Median: $29.80
0.9× median
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