Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1952330797

NPI: 1952330797Share
Active Billing Period:2020-092024-11(51 months)

Total Paid

$16.0M

$15,979,633

Total Claims

42K

Beneficiaries

2,746

15.1 claims/patient

Avg Cost/Claim

$384

Monthly Spending Trend

Yearly Spending

2020
$2.7M
+45%
2021
$3.9M
-40%
2022
$2.3M
-7%
2023
$2.2M
+132%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (S9124 (Nursing care, in the home; per hour)) accounts for 60% of total spending.

S9124Normal range

Nursing care, in the home; per hour

$9.5M

19K claims · 59.6%

Your Cost: $489.96/claim|Median: $400.25
1.2× median
T1003Top 10%

LPN/LVN services, per 15 minutes

$2.6M

4,833 claims · 16.0%

Your Cost: $529.78/claim|Median: $24.24
21.9× median
W7060Top 25%

$1.8M

6,460 claims · 11.6%

Your Cost: $286.22/claim|Median: $238.39
1.2× median
W1793Normal range

State-defined waiver service

$1.7M

9,761 claims · 10.5%

Your Cost: $171.90/claim|Median: $170.32
1.0× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$333K

910 claims · 2.1%

Your Cost: $365.69/claim|Median: $124.86
2.9× median
W5996Top 25%

$42K

190 claims · 0.3%

Your Cost: $221.58/claim|Median: $206.25
1.1× median