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Provider 1881710887

NPI: 1881710887Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,460,332

Total Claims

70K

Beneficiaries

41K

1.7 claims/patient

Avg Cost/Claim

$163

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-38%
2019
$1.3M
-1%
2020
$1.3M
+28%
2021
$1.6M
-20%
2022
$1.3M
+42%
2023
$1.9M
+5%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S5130 (Homemaker service, NOS; per 15 min)) accounts for 33% of total spending.

S5130Top 25%

Homemaker service, NOS; per 15 min

$3.8M

23K claims · 33.0%

Your Cost: $162.22/claim|Median: $48.76
3.3× median
T2022Top 25%

Case management, per month

$3.0M

8,368 claims · 25.9%

Your Cost: $354.66/claim|Median: $202.77
1.7× median
T1015Top 25%

Clinic visit/encounter, all-inclusive

$2.2M

11K claims · 18.9%

Your Cost: $206.02/claim|Median: $121.16
1.7× median
T2025Normal range

Waiver services, NOS; per 15 min

$2.0M

8,481 claims · 17.8%

Your Cost: $240.61/claim|Median: $124.39
1.9× median
G0156Top 5%

Home health aide services, per visit

$366K

1,229 claims · 3.2%

Your Cost: $297.76/claim|Median: $39.42
7.6× median
S5170Normal range

Homemaker service, NOS, per diem

$125K

3,140 claims · 1.1%

Your Cost: $39.71/claim|Median: $19.89
2.0× median
G9920Top 10%

$6K

215 claims · 0.1%

Your Cost: $29.00/claim|Median: $6.56
4.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$780

2,459 claims · 0.0%

Your Cost: $0.32/claim|Median: $53.41
0.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$703

3,779 claims · 0.0%

Your Cost: $0.19/claim|Median: $37.81
0.0× median
G0442Normal range

$174

592 claims · 0.0%

Your Cost: $0.29/claim|Median: $4.91
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$125

133 claims · 0.0%

Your Cost: $0.94/claim|Median: $74.09
0.0× median
G8510Normal range

$50

436 claims · 0.0%

Your Cost: $0.11/claim|Median: $1.96
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$38

1,084 claims · 0.0%

Your Cost: $0.04/claim|Median: $25.06
0.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$35

394 claims · 0.0%

Your Cost: $0.09/claim|Median: $9.80
0.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$30

331 claims · 0.0%

Your Cost: $0.09/claim|Median: $22.44
0.0× median
1036FNormal range

$25

683 claims · 0.0%

Your Cost: $0.04/claim|Median: $0.01
3.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.39
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
1125FNormal range

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
3077FNormal range

$0

85 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
36415Normal range

Collection of venous blood by venipuncture

$0

248 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
3079FNormal range

$0

193 claims · 0.0%

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

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
4270F

$0

45 claims · 0.0%

G9622Normal range

$0

177 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
99000Normal range

$0

1,647 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
G8417Normal range

$0

312 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
G8420Normal range

$0

312 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
91301

COVID-19 vaccine (Moderna), first dose

$0

63 claims · 0.0%

90682Normal range

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.72
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