Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1912052838

NPI: 1912052838Share
Active Billing Period:2018-09→2024-10(72 months)

Total Paid

$7.8M

$7,802,231

Total Claims

65K

Beneficiaries

23K

2.9 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$858K
+106%
2020
$1.8M
-54%
2021
$817K
+9%
2022
$892K
+109%
2023
$1.9M
-14%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (G0299 (Skilled nursing services, home health, per visit, RN)) accounts for 36% of total spending.

G0299Top 25%

Skilled nursing services, home health, per visit, RN

$2.8M

23K claims · 36.5%

Your Cost: $126.26/claim|Median: $51.67
2.4× median
G0300Top 25%

Skilled nursing services, home health, per visit, LPN

$1.7M

13K claims · 21.9%

Your Cost: $130.31/claim|Median: $45.50
2.9× median
G0151Top 10%

Physical therapy services, home health, per visit

$1.3M

9,340 claims · 16.9%

Your Cost: $141.27/claim|Median: $67.94
2.1× median
G0493Top 25%

$361K

2,539 claims · 4.6%

Your Cost: $142.34/claim|Median: $40.89
3.5× median
G0155Top 10%

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

$334K

2,189 claims · 4.3%

Your Cost: $152.48/claim|Median: $7.04
21.7× median
G0156Top 25%

Home health aide services, per visit

$321K

4,868 claims · 4.1%

Your Cost: $65.98/claim|Median: $39.42
1.7× median
G0495Top 10%

Skilled services of LPN in home health

$259K

2,042 claims · 3.3%

Your Cost: $126.73/claim|Median: $42.60
3.0× median
G0157Top 10%

Services of PT assistant in home health, per 15 min

$233K

1,979 claims · 3.0%

Your Cost: $117.75/claim|Median: $43.94
2.7× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$156K

4,606 claims · 2.0%

Your Cost: $33.83/claim|Median: $23.43
1.4× median
G0152Top 25%

Occupational therapy services, home health, per visit

$139K

1,008 claims · 1.8%

Your Cost: $138.05/claim|Median: $68.93
2.0× median
G2168Top 1%

$68K

747 claims · 0.9%

Your Cost: $90.82/claim|Median: $47.26
1.9× median
G0162Top 25%

Skilled services by RN in home health, per 15 min

$48K

406 claims · 0.6%

Your Cost: $119.38/claim|Median: $59.83
2.0× median
G0494Top 1%

$10K

76 claims · 0.1%

Your Cost: $134.54/claim|Median: $15.39
8.7× median
3CC31

$0

12 claims · 0.0%

← All providersHow we detect fraud →