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Provider 1922265586

NPI: 1922265586Share
Active Billing Period:2018-012024-11(78 months)

Extreme procedure concentration — 80% of $12.8M billed through just 2 codes

Total Paid

$12.8M

$12,840,611

Total Claims

38K

Beneficiaries

2,832

13.4 claims/patient

Avg Cost/Claim

$338

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-28%
2019
$2.1M
-45%
2020
$1.2M
+39%
2021
$1.6M
-32%
2022
$1.1M
+75%
2023
$1.9M
-2%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1026 (Waiver services, NOS, per diem)) accounts for 80% of total spending.

T1026Top 25%

Waiver services, NOS, per diem

$10.2M

29K claims · 79.5%

Your Cost: $348.68/claim|Median: $146.05
2.4× median
Z5868Top 25%

$2.6M

8,743 claims · 20.5%

Your Cost: $300.61/claim|Median: $241.19
1.2× median