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Provider 1982867289

NPI: 1982867289Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$8.5M

$8,466,423

Total Claims

88K

Beneficiaries

4,543

19.5 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2021
$1.1M
+84%
2022
$2.0M
+20%
2023
$2.4M
+23%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 37% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$3.1M

38K claims · 36.9%

Your Cost: $81.39/claim|Median: $321.53
0.3× median
T2016Normal range

Habilitation, residential, waiver; per diem

$2.2M

16K claims · 26.0%

Your Cost: $138.03/claim|Median: $331.94
0.4× median
S5150Top 25%

Unskilled respite care, per 15 min

$861K

5,370 claims · 10.2%

Your Cost: $160.42/claim|Median: $84.46
1.9× median
M0360Top 25%

$741K

5,607 claims · 8.7%

Your Cost: $132.12/claim|Median: $102.43
1.3× median
H2014Normal range

Skills training & development, per 15 min

$582K

11K claims · 6.9%

Your Cost: $55.46/claim|Median: $83.88
0.7× median
M0123Top 1%

$449K

5,899 claims · 5.3%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0240Top 25%

$301K

1,782 claims · 3.6%

Your Cost: $168.81/claim|Median: $141.71
1.2× median
T2020Normal range

Day habilitation, waiver; per diem

$173K

4,506 claims · 2.0%

Your Cost: $38.32/claim|Median: $87.34
0.4× median
T1002Normal range

RN services, per 15 minutes

$28K

382 claims · 0.3%

Your Cost: $72.92/claim|Median: $37.42
1.9× median
M0299Top 5%

$4K

18 claims · 0.0%

Your Cost: $213.26/claim|Median: $34.98
6.1× median
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