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Provider 1902976285

NPI: 1902976285Share
Active Billing Period:2021-01→2024-11(47 months)

Total Paid

$8.5M

$8,545,912

Total Claims

116K

Beneficiaries

9,581

12.1 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2021
$913K
+174%
2022
$2.5M
+6%
2023
$2.6M
-6%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 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

$5.6M

40K claims · 65.2%

Your Cost: $139.55/claim|Median: $321.53
0.4× median
H2014Normal range

Skills training & development, per 15 min

$1.0M

23K claims · 11.8%

Your Cost: $44.67/claim|Median: $83.88
0.5× median
M0150Normal range

$859K

5,319 claims · 10.1%

Your Cost: $161.55/claim|Median: $161.06
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$293K

8,674 claims · 3.4%

Your Cost: $33.78/claim|Median: $87.34
0.4× median
M0372Normal range

$183K

19K claims · 2.1%

Your Cost: $9.82/claim|Median: $13.55
0.7× median
M0116Normal range

$165K

5,120 claims · 1.9%

Your Cost: $32.25/claim|Median: $32.07
1.0× median
M0115Normal range

$112K

3,978 claims · 1.3%

Your Cost: $28.07/claim|Median: $29.58
0.9× median
D0120Top 1%

Periodic oral evaluation, established patient

$109K

335 claims · 1.3%

Your Cost: $325.67/claim|Median: $24.34
13.4× median
M0113Normal range

$69K

218 claims · 0.8%

Your Cost: $314.82/claim|Median: $397.30
0.8× median
T2016Normal range

Habilitation, residential, waiver; per diem

$61K

4,914 claims · 0.7%

Your Cost: $12.33/claim|Median: $331.94
0.0× median
M0354Normal range

$47K

3,638 claims · 0.6%

Your Cost: $12.95/claim|Median: $90.61
0.1× median
M0118Normal range

$19K

528 claims · 0.2%

Your Cost: $36.23/claim|Median: $38.00
1.0× median
M0101Normal range

$17K

373 claims · 0.2%

Your Cost: $45.03/claim|Median: $65.66
0.7× median
A9153Normal range

$12K

360 claims · 0.1%

Your Cost: $33.51/claim|Median: $45.63
0.7× median
M0315Normal range

$10K

419 claims · 0.1%

Your Cost: $23.65/claim|Median: $29.80
0.8× median
M0248Normal range

$3K

871 claims · 0.0%

Your Cost: $3.66/claim|Median: $5.31
0.7× median
T1002Normal range

RN services, per 15 minutes

$3K

70 claims · 0.0%

Your Cost: $42.77/claim|Median: $37.42
1.1× median
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