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Provider 1922160571

NPI: 1922160571Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$12.9M

$12,911,617

Total Claims

61K

Beneficiaries

7,257

8.4 claims/patient

Avg Cost/Claim

$211

Monthly Spending Trend

Yearly Spending

2021
$2.0M
+69%
2022
$3.4M
+14%
2023
$3.9M
-5%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 64% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$8.3M

6,511 claims · 64.3%

Your Cost: $1,274.62/claim|Median: $321.53
4.0× median
M0150Normal range

$1.3M

8,062 claims · 9.9%

Your Cost: $158.04/claim|Median: $161.06
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.1M

20K claims · 8.4%

Your Cost: $55.34/claim|Median: $83.88
0.7× median
M0152Normal range

$1.1M

6,193 claims · 8.3%

Your Cost: $172.29/claim|Median: $174.64
1.0× median
T2020Top 25%

Day habilitation, waiver; per diem

$393K

2,204 claims · 3.0%

Your Cost: $178.45/claim|Median: $87.34
2.0× median
M0116Normal range

$227K

7,326 claims · 1.8%

Your Cost: $30.94/claim|Median: $32.07
1.0× median
M0118Normal range

$162K

4,273 claims · 1.3%

Your Cost: $38.00/claim|Median: $38.00
1.0× median
M0133Normal range

$134K

1,536 claims · 1.0%

Your Cost: $87.38/claim|Median: $84.70
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$101K

1,389 claims · 0.8%

Your Cost: $72.76/claim|Median: $84.12
0.9× median
M0171Normal range

$70K

910 claims · 0.5%

Your Cost: $76.40/claim|Median: $73.78
1.0× median
T2025Normal range

Waiver services, NOS; per 15 min

$32K

442 claims · 0.3%

Your Cost: $73.14/claim|Median: $124.39
0.6× median
M0298Top 10%

$22K

852 claims · 0.2%

Your Cost: $25.56/claim|Median: $13.85
1.8× median
T1003Normal range

LPN/LVN services, per 15 minutes

$21K

1,248 claims · 0.2%

Your Cost: $16.44/claim|Median: $24.24
0.7× median
M0299Normal range

$16K

548 claims · 0.1%

Your Cost: $29.24/claim|Median: $34.98
0.8× median
T1002Normal range

RN services, per 15 minutes

$3K

97 claims · 0.0%

Your Cost: $29.83/claim|Median: $37.42
0.8× median
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