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Provider 1922180264

NPI: 1922180264Share
Active Billing Period:2018-012024-12(53 months)

Total Paid

$10.2M

$10,228,415

Total Claims

99K

Beneficiaries

32K

3.1 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$0
2020
$432K
+418%
2021
$2.2M
+27%
2022
$2.8M
+15%
2023
$3.3M
-55%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (G0299 (Skilled nursing services, home health, per visit, RN)) accounts for 41% of total spending.

G0299Top 25%

Skilled nursing services, home health, per visit, RN

$4.2M

46K claims · 40.7%

Your Cost: $89.66/claim|Median: $51.67
1.7× median
97110Top 1%

Therapeutic exercises, each 15 min

$3.5M

24K claims · 34.5%

Your Cost: $145.17/claim|Median: $24.49
5.9× median
G0300Top 25%

Skilled nursing services, home health, per visit, LPN

$1.2M

13K claims · 11.3%

Your Cost: $87.66/claim|Median: $45.50
1.9× median
97530Top 10%

Therapeutic activities, each 15 min

$419K

4,360 claims · 4.1%

Your Cost: $96.14/claim|Median: $33.11
2.9× median
97161Top 25%

Physical therapy evaluation, low complexity

$229K

2,358 claims · 2.2%

Your Cost: $96.95/claim|Median: $47.89
2.0× median
97164Top 10%

PT re-evaluation

$216K

2,534 claims · 2.1%

Your Cost: $85.41/claim|Median: $32.66
2.6× median
S9110Normal range

$181K

2,000 claims · 1.8%

Your Cost: $90.34/claim|Median: $161.92
0.6× median
97165Top 25%

OT evaluation, low complexity

$142K

1,539 claims · 1.4%

Your Cost: $92.34/claim|Median: $46.78
2.0× median
97168Normal range

OT re-evaluation

$99K

1,158 claims · 1.0%

Your Cost: $85.60/claim|Median: $50.43
1.7× median
T1001Normal range

Nursing assessment/evaluation, per visit

$87K

1,512 claims · 0.8%

Your Cost: $57.41/claim|Median: $49.05
1.2× median