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

Provider 1912964818

NPI: 1912964818Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$9.8M

$9,779,089

Total Claims

184K

Beneficiaries

63K

2.9 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-44%
2019
$1.2M
+15%
2020
$1.4M
+5%
2021
$1.5M
-8%
2022
$1.4M
-17%
2023
$1.1M
-25%
2024
$849K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (T1030 (Nursing care, in the home, by RN, per diem)) accounts for 49% of total spending.

T1030Top 25%

Nursing care, in the home, by RN, per diem

$4.8M

34K claims · 49.3%

Your Cost: $140.27/claim|Median: $85.62
1.6× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$1.7M

23K claims · 17.4%

Your Cost: $75.58/claim|Median: $124.86
0.6× median
S9131Normal range

Physical therapy, in the home, per diem

$1.7M

18K claims · 16.9%

Your Cost: $90.27/claim|Median: $90.35
1.0× median
S9129Normal range

OT, in the home, per diem

$503K

6,465 claims · 5.1%

Your Cost: $77.87/claim|Median: $76.61
1.0× median
G0151Normal range

Physical therapy services, home health, per visit

$364K

30K claims · 3.7%

Your Cost: $12.23/claim|Median: $67.94
0.2× median
S9127Top 25%

Social work visit, in the home, per diem

$295K

2,183 claims · 3.0%

Your Cost: $135.25/claim|Median: $98.75
1.4× median
G0152Normal range

Occupational therapy services, home health, per visit

$121K

8,670 claims · 1.2%

Your Cost: $13.93/claim|Median: $68.93
0.2× median
T1031Normal range

Nursing care, in the home, by LPN, per diem

$88K

1,113 claims · 0.9%

Your Cost: $79.48/claim|Median: $80.56
1.0× median
S9128Normal range

Speech therapy, in the home, per diem

$60K

777 claims · 0.6%

Your Cost: $77.77/claim|Median: $72.77
1.1× median
S9124Normal range

Nursing care, in the home; per hour

$57K

1,274 claims · 0.6%

Your Cost: $44.96/claim|Median: $400.25
0.1× median
S9122Normal range

Home health aide or certified nurse, per hour

$47K

1,884 claims · 0.5%

Your Cost: $25.08/claim|Median: $116.67
0.2× median
G0155Normal range

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

$34K

2,899 claims · 0.3%

Your Cost: $11.73/claim|Median: $7.04
1.7× median
G0153Normal range

Services of SLP in home health, per 15 min

$15K

844 claims · 0.2%

Your Cost: $17.46/claim|Median: $101.43
0.2× median
T1021Normal range

Home health aide visit, per 15 min

$14K

277 claims · 0.1%

Your Cost: $49.04/claim|Median: $44.79
1.1× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$4K

27K claims · 0.0%

Your Cost: $0.14/claim|Median: $51.67
0.0× median
G0493Normal range

$393

7,721 claims · 0.0%

Your Cost: $0.05/claim|Median: $40.89
0.0× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$384

6,357 claims · 0.0%

Your Cost: $0.06/claim|Median: $23.43
0.0× median
G0494Normal range

$131

359 claims · 0.0%

Your Cost: $0.36/claim|Median: $15.39
0.0× median

$0

30 claims · 0.0%

0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.49
G0156Normal range

Home health aide services, per visit

$0

7,292 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$0

2,871 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.50

$0

139 claims · 0.0%

$0

137 claims · 0.0%

$0

87 claims · 0.0%

Q5002Normal range

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.39
G0495Normal range

Skilled services of LPN in home health

$0

597 claims · 0.0%

Your Cost: $0.00/claim|Median: $42.60
HH023Normal range

$0

292 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
1AA11Normal range

$0

101 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.63