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Provider 1912995127

NPI: 1912995127Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,447,860

Total Claims

166K

Beneficiaries

40K

4.1 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-33%
2019
$2.6M
-18%
2020
$2.1M
-8%
2021
$1.9M
-7%
2022
$1.8M
+11%
2023
$2.0M
+7%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0299 (Skilled nursing services, home health, per visit, RN)) accounts for 21% of total spending.

G0299Normal range

Skilled nursing services, home health, per visit, RN

$3.4M

47K claims · 20.6%

Your Cost: $72.38/claim|Median: $51.67
1.4× median
T4541Top 1%

Pediatric-sized disposable incontinence product, large

$2.3M

6,597 claims · 13.9%

Your Cost: $347.14/claim|Median: $41.28
8.4× median
S5108Normal range

Home care training to home care client, per 15 minutes

$2.0M

21K claims · 12.0%

Your Cost: $92.93/claim|Median: $107.36
0.9× median
T4527Top 1%

Adult-sized disposable incontinence product, large

$1.6M

2,292 claims · 9.5%

Your Cost: $680.32/claim|Median: $99.53
6.8× median
G0156Normal range

Home health aide services, per visit

$1.3M

46K claims · 8.1%

Your Cost: $28.80/claim|Median: $39.42
0.7× median
T4528Top 1%

Adult-sized disposable incontinence product, extra-large

$1.3M

1,825 claims · 8.0%

Your Cost: $718.68/claim|Median: $105.14
6.8× median
T4535Top 1%

Adult-sized disposable underpads/pads, large

$924K

1,845 claims · 5.6%

Your Cost: $501.05/claim|Median: $42.03
11.9× median
T4526Top 1%

Adult-sized disposable incontinence product, medium

$861K

1,344 claims · 5.2%

Your Cost: $640.59/claim|Median: $88.94
7.2× median
G0151Normal range

Physical therapy services, home health, per visit

$853K

12K claims · 5.2%

Your Cost: $70.07/claim|Median: $67.94
1.0× median
T4523Top 1%

Adult-sized disposable incontinence product, brief/diaper, small

$497K

623 claims · 3.0%

Your Cost: $797.52/claim|Median: $96.13
8.3× median
G0152Normal range

Occupational therapy services, home health, per visit

$365K

5,248 claims · 2.2%

Your Cost: $69.62/claim|Median: $68.93
1.0× median
G0153Normal range

Services of SLP in home health, per 15 min

$269K

3,795 claims · 1.6%

Your Cost: $70.93/claim|Median: $101.43
0.7× median
G0157Normal range

Services of PT assistant in home health, per 15 min

$265K

3,756 claims · 1.6%

Your Cost: $70.63/claim|Median: $43.94
1.6× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$261K

3,578 claims · 1.6%

Your Cost: $72.98/claim|Median: $45.50
1.6× median
T4534Top 1%

Adult-sized disposable underpads/pads, small

$78K

108 claims · 0.5%

Your Cost: $726.08/claim|Median: $110.54
6.6× median
A6250Top 10%

Skin sealant protectant, moisturizer, each ounce

$75K

1,123 claims · 0.5%

Your Cost: $67.18/claim|Median: $9.88
6.8× median
A6402Normal range

$43K

3,830 claims · 0.3%

Your Cost: $11.16/claim|Median: $7.69
1.5× median
A9286Top 1%

$42K

246 claims · 0.3%

Your Cost: $171.07/claim|Median: $11.41
15.0× median
A4927Top 1%

Gloves, non-sterile, per 100

$21K

133 claims · 0.1%

Your Cost: $155.46/claim|Median: $12.90
12.1× median
T1016Normal range

Case management, each 15 min

$16K

278 claims · 0.1%

Your Cost: $55.78/claim|Median: $49.62
1.1× median
A6446Top 25%

$12K

461 claims · 0.1%

Your Cost: $26.03/claim|Median: $14.64
1.8× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$7K

1,379 claims · 0.0%

Your Cost: $4.91/claim|Median: $13.14
0.4× median
G0495Normal range

Skilled services of LPN in home health

$5K

91 claims · 0.0%

Your Cost: $52.05/claim|Median: $42.60
1.2× median
A4450Top 25%

$3K

580 claims · 0.0%

Your Cost: $5.98/claim|Median: $3.14
1.9× median
G0493Normal range

$3K

83 claims · 0.0%

Your Cost: $39.78/claim|Median: $40.89
1.0× median
A6212Normal range

$2K

21 claims · 0.0%

Your Cost: $75.81/claim|Median: $76.51
1.0× median
G0288Top 1%

$1K

17 claims · 0.0%

Your Cost: $71.77/claim|Median: $49.07
1.5× median
G0494Normal range

$1K

24 claims · 0.0%

Your Cost: $44.48/claim|Median: $15.39
2.9× median
A6219Normal range

$593

54 claims · 0.0%

Your Cost: $10.97/claim|Median: $9.59
1.1× median
A4770Normal range

$488

95 claims · 0.0%

Your Cost: $5.14/claim|Median: $5.14
1.0× median
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