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Provider 1972500478

NPI: 1972500478Share
Active Billing Period:2018-012024-01(73 months)
Billing appears to have stoppedLast active: 2024-01

Total Paid

$10.7M

$10,655,414

Total Claims

91K

Beneficiaries

25K

3.7 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+3%
2019
$3.0M
-14%
2020
$2.6M
-33%
2021
$1.7M
-80%
2022
$353K
-80%
2023
$70K
-91%
2024
$6K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H2032 (Activity therapy, per 15 minutes)) accounts for 85% of total spending.

H2032Normal range

Activity therapy, per 15 minutes

$9.1M

73K claims · 85.0%

Your Cost: $124.67/claim|Median: $108.23
1.2× median
H2014Normal range

Skills training & development, per 15 min

$969K

8,802 claims · 9.1%

Your Cost: $110.11/claim|Median: $83.88
1.3× median
T1030Normal range

Nursing care, in the home, by RN, per diem

$444K

6,857 claims · 4.2%

Your Cost: $64.70/claim|Median: $85.62
0.8× median
T1031Normal range

Nursing care, in the home, by LPN, per diem

$98K

1,409 claims · 0.9%

Your Cost: $69.20/claim|Median: $80.56
0.9× median
X5527Normal range

$60K

401 claims · 0.6%

Your Cost: $150.26/claim|Median: $150.26
1.0× median
S5130Normal range

Homemaker service, NOS; per 15 min

$20K

446 claims · 0.2%

Your Cost: $44.10/claim|Median: $48.76
0.9× median
S9131Normal range

Physical therapy, in the home, per diem

$11K

107 claims · 0.1%

Your Cost: $99.76/claim|Median: $90.35
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$2K

54 claims · 0.0%

Your Cost: $42.67/claim|Median: $96.24
0.4× median