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Provider 1972504702

NPI: 1972504702Share
Active Billing Period:2018-012024-12(80 months)

Extreme procedure concentration — 75% of $7.9M billed through just 2 codes

Total Paid

$7.9M

$7,876,382

Total Claims

30K

Beneficiaries

2,562

11.5 claims/patient

Avg Cost/Claim

$266

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-38%
2019
$1.3M
-31%
2020
$905K
-17%
2021
$754K
-19%
2022
$611K
+76%
2023
$1.1M
+4%
2024
$1.1M

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 75% of total spending.

T1026Top 25%

Waiver services, NOS, per diem

$5.9M

21K claims · 74.9%

Your Cost: $282.02/claim|Median: $146.05
1.9× median
Z5868Normal range

$2.0M

8,630 claims · 25.1%

Your Cost: $228.66/claim|Median: $241.19
0.9× median