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CENTERLIGHT HEALTHCARE, INC.

PACE Provider Organization·FLUSHING, NY·NPI: 1932227790Share
Active Billing Period:2018-06→2024-12(79 months)

Total Paid

$67.8M

$67,824,074

Total Claims

581K

Beneficiaries

382K

1.5 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2018
$114K
+3458%
2019
$4.0M
+161%
2020
$10.5M
-2%
2021
$10.3M
+20%
2022
$12.5M
+28%
2023
$16.0M
-10%
2024
$14.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 40 distinct procedure codes. The top code (T1001 (Nursing assessment/evaluation, per visit)) accounts for 52% of total spending.

T1001Top 10%

Nursing assessment/evaluation, per visit

$35.2M

242K claims · 51.8%

Your Cost: $145.49/claim|Median: $49.05
3.0× median
S9131Normal range

Physical therapy, in the home, per diem

$8.3M

89K claims · 12.3%

Your Cost: $93.36/claim|Median: $90.35
1.0× median
S9129Normal range

OT, in the home, per diem

$5.7M

59K claims · 8.4%

Your Cost: $96.08/claim|Median: $76.61
1.3× median
T1028Normal range

Assessment of home, physical & family environments

$5.3M

54K claims · 7.8%

Your Cost: $98.27/claim|Median: $81.30
1.2× median
S5102Normal range

Day care services, adult; per 15 min

$5.0M

48K claims · 7.3%

Your Cost: $102.69/claim|Median: $81.10
1.3× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$2.8M

19K claims · 4.1%

Your Cost: $146.15/claim|Median: $53.41
2.7× median
S9470Top 10%

Nutritional counseling

$2.6M

25K claims · 3.8%

Your Cost: $103.29/claim|Median: $16.62
6.2× median
S9127Normal range

Social work visit, in the home, per diem

$547K

7,007 claims · 0.8%

Your Cost: $78.01/claim|Median: $98.75
0.8× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$537K

2,507 claims · 0.8%

Your Cost: $214.29/claim|Median: $84.03
2.6× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$450K

5,408 claims · 0.7%

Your Cost: $83.26/claim|Median: $37.81
2.2× median
99215Top 5%

Office/outpatient visit, high complexity

$327K

1,510 claims · 0.5%

Your Cost: $216.68/claim|Median: $74.09
2.9× median
G0176Normal range

Activity therapy (group), per session

$272K

5,853 claims · 0.4%

Your Cost: $46.50/claim|Median: $85.09
0.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$195K

6,982 claims · 0.3%

Your Cost: $27.92/claim|Median: $12.93
2.2× median
11721Top 5%

$109K

2,058 claims · 0.2%

Your Cost: $52.73/claim|Median: $8.56
6.2× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$96K

1,070 claims · 0.1%

Your Cost: $90.10/claim|Median: $22.44
4.0× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$90K

698 claims · 0.1%

Your Cost: $128.91/claim|Median: $32.55
4.0× median
99349Top 5%

$84K

543 claims · 0.1%

Your Cost: $155.10/claim|Median: $24.29
6.4× median
99212Top 10%

Office/outpatient visit, low complexity

$70K

1,058 claims · 0.1%

Your Cost: $66.16/claim|Median: $25.06
2.6× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$43K

772 claims · 0.1%

Your Cost: $55.81/claim|Median: $13.30
4.2× median
99422Top 25%

Online digital E/M, 11-20 min

$29K

805 claims · 0.0%

Your Cost: $35.93/claim|Median: $17.90
2.0× median
99499Top 25%

Unlisted evaluation and management service

$28K

558 claims · 0.0%

Your Cost: $49.87/claim|Median: $30.88
1.6× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$23K

168 claims · 0.0%

Your Cost: $138.02/claim|Median: $57.85
2.4× median
99341Top 25%

$20K

318 claims · 0.0%

Your Cost: $63.35/claim|Median: $20.60
3.1× median
G0127Top 5%

Trimming of dystrophic nails, any number

$16K

549 claims · 0.0%

Your Cost: $28.83/claim|Median: $2.87
10.0× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$15K

296 claims · 0.0%

Your Cost: $50.51/claim|Median: $31.59
1.6× median
E0100Top 1%

$14K

279 claims · 0.0%

Your Cost: $50.00/claim|Median: $9.96
5.0× median
94760Top 25%

Pulse oximetry, single reading, noninvasive

$11K

3,098 claims · 0.0%

Your Cost: $3.45/claim|Median: $0.79
4.4× median
90658Top 1%

$9K

180 claims · 0.0%

Your Cost: $50.00/claim|Median: $8.96
5.6× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$8K

419 claims · 0.0%

Your Cost: $18.96/claim|Median: $9.70
2.0× median
99350Top 5%

$8K

37 claims · 0.0%

Your Cost: $209.64/claim|Median: $35.62
5.9× median
82947Top 25%

Blood glucose level test

$7K

1,776 claims · 0.0%

Your Cost: $3.96/claim|Median: $2.38
1.7× median
11056Top 5%

Paring or cutting of benign hyperkeratotic lesions, two to four

$7K

68 claims · 0.0%

Your Cost: $95.78/claim|Median: $11.01
8.7× median
99342Normal range

$3K

31 claims · 0.0%

Your Cost: $112.29/claim|Median: $32.19
3.5× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$3K

12 claims · 0.0%

Your Cost: $269.60/claim|Median: $111.09
2.4× median
99423Top 10%

Online digital E/M, 21+ min

$3K

46 claims · 0.0%

Your Cost: $57.95/claim|Median: $38.12
1.5× median
36415Top 25%

Collection of venous blood by venipuncture

$2K

786 claims · 0.0%

Your Cost: $3.00/claim|Median: $1.57
1.9× median
G0008Top 10%

$2K

95 claims · 0.0%

Your Cost: $20.38/claim|Median: $2.54
8.0× median
90732Top 5%

Pneumococcal vaccine (PPSV23)

$2K

12 claims · 0.0%

Your Cost: $133.47/claim|Median: $36.96
3.6× median
99421Top 25%

Online digital E/M, 5-10 min

$1K

81 claims · 0.0%

Your Cost: $18.18/claim|Median: $9.42
1.9× median
99347Top 10%

$891

14 claims · 0.0%

Your Cost: $63.67/claim|Median: $11.74
5.4× median

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