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Provider 1932709771

NPI: 1932709771Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$17.4M

$17,396,473

Total Claims

87K

Beneficiaries

38K

2.3 claims/patient

Avg Cost/Claim

$201

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+19%
2019
$2.2M
-3%
2020
$2.1M
+31%
2021
$2.7M
-36%
2022
$1.8M
+74%
2023
$3.1M
+23%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (S5111 (Home care training, family member, per session)) accounts for 34% of total spending.

S5111Top 25%

Home care training, family member, per session

$5.9M

40K claims · 33.8%

Your Cost: $148.39/claim|Median: $87.13
1.7× median
W0500Normal range

Waiver service, state-specific code

$3.4M

25K claims · 19.4%

Your Cost: $137.30/claim|Median: $207.17
0.7× median
T2025Top 25%

Waiver services, NOS; per 15 min

$3.1M

9,936 claims · 18.1%

Your Cost: $316.03/claim|Median: $124.39
2.5× median
T2024Top 25%

Supported employment, waiver, per diem

$1.6M

3,408 claims · 9.2%

Your Cost: $470.43/claim|Median: $259.38
1.8× median
W0510Normal range

$1.3M

4,330 claims · 7.3%

Your Cost: $293.29/claim|Median: $283.60
1.0× median
W0530Top 1%

$966K

2,146 claims · 5.6%

Your Cost: $450.04/claim|Median: $425.64
1.1× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$710K

1,507 claims · 4.1%

Your Cost: $471.43/claim|Median: $106.70
4.4× median
W0520Top 25%

$448K

992 claims · 2.6%

Your Cost: $451.29/claim|Median: $422.46
1.1× median