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Provider 1891003604

NPI: 1891003604Share
Active Billing Period:2020-11→2024-12(50 months)

Total Paid

$10.9M

$10,945,846

Total Claims

105K

Beneficiaries

7,171

14.6 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2020
$4K
+41114%
2021
$1.7M
+73%
2022
$3.0M
+3%
2023
$3.1M
+3%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 60% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$6.6M

43K claims · 60.0%

Your Cost: $153.21/claim|Median: $321.53
0.5× median
T2016Normal range

Habilitation, residential, waiver; per diem

$939K

8,397 claims · 8.6%

Your Cost: $111.78/claim|Median: $331.94
0.3× median
M0167Normal range

$865K

5,713 claims · 7.9%

Your Cost: $151.37/claim|Median: $158.84
1.0× median
H2014Normal range

Skills training & development, per 15 min

$523K

14K claims · 4.8%

Your Cost: $37.29/claim|Median: $83.88
0.4× median
M0123Top 1%

$500K

6,562 claims · 4.6%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0122Top 1%

$472K

6,503 claims · 4.3%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
S5150Normal range

Unskilled respite care, per 15 min

$296K

2,186 claims · 2.7%

Your Cost: $135.47/claim|Median: $84.46
1.6× median
M0360Normal range

$256K

2,582 claims · 2.3%

Your Cost: $99.02/claim|Median: $102.43
1.0× median
M0116Normal range

$220K

7,244 claims · 2.0%

Your Cost: $30.31/claim|Median: $32.07
0.9× median
T2020Normal range

Day habilitation, waiver; per diem

$202K

5,575 claims · 1.8%

Your Cost: $36.19/claim|Median: $87.34
0.4× median
T1002Normal range

RN services, per 15 minutes

$27K

1,720 claims · 0.3%

Your Cost: $15.98/claim|Median: $37.42
0.4× median
M0299Normal range

$22K

927 claims · 0.2%

Your Cost: $23.39/claim|Median: $34.98
0.7× median
M0240Normal range

$22K

165 claims · 0.2%

Your Cost: $131.26/claim|Median: $141.71
0.9× median
M0133Normal range

$14K

414 claims · 0.1%

Your Cost: $33.81/claim|Median: $84.70
0.4× median
M0113Normal range

$13K

32 claims · 0.1%

Your Cost: $406.31/claim|Median: $397.30
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$4K

14 claims · 0.0%

Your Cost: $290.57/claim|Median: $24.34
11.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$2K

46 claims · 0.0%

Your Cost: $39.77/claim|Median: $84.12
0.5× median
M0315Normal range

$1K

44 claims · 0.0%

Your Cost: $29.78/claim|Median: $29.80
1.0× median
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