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Provider 1912167214

NPI: 1912167214Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$16.7M

$16,692,937

Total Claims

108K

Beneficiaries

13K

8.5 claims/patient

Avg Cost/Claim

$154

Monthly Spending Trend

Yearly Spending

2021
$3.0M
+62%
2022
$4.9M
-7%
2023
$4.5M
-6%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 59% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$9.9M

7,174 claims · 59.1%

Your Cost: $1,374.51/claim|Median: $321.53
4.3× median
H2014Normal range

Skills training & development, per 15 min

$1.3M

27K claims · 8.1%

Your Cost: $49.35/claim|Median: $83.88
0.6× median
M0123Top 1%

$997K

13K claims · 6.0%

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

$907K

12K claims · 5.4%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0125Top 1%

$861K

9,151 claims · 5.2%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
T2020Top 10%

Day habilitation, waiver; per diem

$735K

1,356 claims · 4.4%

Your Cost: $541.79/claim|Median: $87.34
6.2× median
M0124Normal range

$681K

5,715 claims · 4.1%

Your Cost: $119.18/claim|Median: $119.18
1.0× median
M0116Normal range

$308K

9,655 claims · 1.8%

Your Cost: $31.95/claim|Median: $32.07
1.0× median
M0118Normal range

$227K

5,987 claims · 1.4%

Your Cost: $37.90/claim|Median: $38.00
1.0× median
M0115Normal range

$207K

7,341 claims · 1.2%

Your Cost: $28.16/claim|Median: $29.58
1.0× median
M0117Normal range

$169K

3,582 claims · 1.0%

Your Cost: $47.30/claim|Median: $47.85
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$155K

416 claims · 0.9%

Your Cost: $372.95/claim|Median: $24.34
15.3× median
T1002Normal range

RN services, per 15 minutes

$73K

2,508 claims · 0.4%

Your Cost: $29.01/claim|Median: $37.42
0.8× median
M0113Normal range

$57K

144 claims · 0.3%

Your Cost: $397.04/claim|Median: $397.30
1.0× median
M0299Normal range

$47K

1,308 claims · 0.3%

Your Cost: $35.74/claim|Median: $34.98
1.0× median
M0101Top 5%

$46K

231 claims · 0.3%

Your Cost: $198.71/claim|Median: $65.66
3.0× median
M0315Normal range

$13K

431 claims · 0.1%

Your Cost: $29.24/claim|Median: $29.80
1.0× median
M0248Normal range

$3K

401 claims · 0.0%

Your Cost: $8.31/claim|Median: $5.31
1.6× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$1K

13 claims · 0.0%

Your Cost: $86.83/claim|Median: $300.16
0.3× median
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