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Provider 1992741060

NPI: 1992741060Share
Active Billing Period:2018-012024-11(76 months)

Total Paid

$12.4M

$12,448,865

Total Claims

63K

Beneficiaries

27K

2.3 claims/patient

Avg Cost/Claim

$199

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+37%
2019
$2.5M
+29%
2020
$3.2M
-4%
2021
$3.1M
-44%
2022
$1.7M
-98%
2023
$27K
-88%
2024
$3K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 74% of total spending.

S9342Top 5%

Home infusion therapy, continuous or intermittent, per diem

$9.2M

12K claims · 74.0%

Your Cost: $744.83/claim|Median: $176.25
4.2× median
S9343Top 1%

$1.1M

1,612 claims · 8.6%

Your Cost: $662.25/claim|Median: $99.47
6.7× median
S9500Top 1%

$1.0M

836 claims · 8.4%

Your Cost: $1,249.01/claim|Median: $144.40
8.6× median
B4160Normal range

Enteral formula, per 100 calories

$429K

2,525 claims · 3.4%

Your Cost: $169.83/claim|Median: $157.30
1.1× median
G0151Normal range

Physical therapy services, home health, per visit

$180K

13K claims · 1.4%

Your Cost: $13.96/claim|Median: $67.94
0.2× median
S9542Top 25%

$140K

1,062 claims · 1.1%

Your Cost: $132.18/claim|Median: $43.71
3.0× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$98K

8,819 claims · 0.8%

Your Cost: $11.10/claim|Median: $45.50
0.2× median
S9338Top 5%

$91K

498 claims · 0.7%

Your Cost: $183.63/claim|Median: $60.83
3.0× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$81K

11K claims · 0.6%

Your Cost: $7.55/claim|Median: $51.67
0.1× median
G0152Normal range

Occupational therapy services, home health, per visit

$49K

3,446 claims · 0.4%

Your Cost: $14.27/claim|Median: $68.93
0.2× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$15K

4,291 claims · 0.1%

Your Cost: $3.59/claim|Median: $23.43
0.2× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$15K

291 claims · 0.1%

Your Cost: $50.27/claim|Median: $92.20
0.5× median
G0157Normal range

Services of PT assistant in home health, per 15 min

$11K

2,511 claims · 0.1%

Your Cost: $4.19/claim|Median: $43.94
0.1× median
99602Top 25%

$7K

49 claims · 0.1%

Your Cost: $138.90/claim|Median: $84.91
1.6× median
G0153Normal range

Services of SLP in home health, per 15 min

$4K

104 claims · 0.0%

Your Cost: $37.37/claim|Median: $101.43
0.4× median
99601Normal range

$361

106 claims · 0.0%

Your Cost: $3.40/claim|Median: $82.41
0.0× median
G0158Normal range

Services of OT assistant in home health, per 15 min

$30

146 claims · 0.0%

Your Cost: $0.21/claim|Median: $52.84
0.0× median
G0155Normal range

Services of clinical social worker in home health, per 15 min

$19

49 claims · 0.0%

Your Cost: $0.39/claim|Median: $7.04
0.1× median
G0156Normal range

Home health aide services, per visit

$0

55 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42
1AA11Normal range

$0

175 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.63