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Provider 1992836936

NPI: 1992836936Share
Active Billing Period:2021-01→2024-11(47 months)

Total Paid

$18.2M

$18,236,640

Total Claims

163K

Beneficiaries

17K

9.5 claims/patient

Avg Cost/Claim

$112

Monthly Spending Trend

Yearly Spending

2021
$2.8M
+56%
2022
$4.4M
+24%
2023
$5.4M
+2%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 57% of total spending.

H2016Top 10%

Comprehensive community support services, per 15 min

$10.5M

3,344 claims · 57.4%

Your Cost: $3,131.80/claim|Median: $321.53
9.7× median
H2014Normal range

Skills training & development, per 15 min

$2.0M

49K claims · 11.0%

Your Cost: $41.00/claim|Median: $83.88
0.5× median
M0166Normal range

$925K

6,340 claims · 5.1%

Your Cost: $145.89/claim|Median: $151.35
1.0× median
M0122Top 1%

$913K

13K claims · 5.0%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0123Top 1%

$735K

9,653 claims · 4.0%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
T2016Normal range

Habilitation, residential, waiver; per diem

$671K

8,076 claims · 3.7%

Your Cost: $83.12/claim|Median: $331.94
0.3× median
T2020Normal range

Day habilitation, waiver; per diem

$412K

10K claims · 2.3%

Your Cost: $40.06/claim|Median: $87.34
0.5× median
M0354Normal range

$405K

5,450 claims · 2.2%

Your Cost: $74.33/claim|Median: $90.61
0.8× median
M0125Top 1%

$355K

3,777 claims · 1.9%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
M0115Normal range

$278K

9,438 claims · 1.5%

Your Cost: $29.41/claim|Median: $29.58
1.0× median
M0372Normal range

$244K

22K claims · 1.3%

Your Cost: $11.34/claim|Median: $13.55
0.8× median
M0116Normal range

$223K

6,867 claims · 1.2%

Your Cost: $32.42/claim|Median: $32.07
1.0× median
M0118Normal range

$163K

4,350 claims · 0.9%

Your Cost: $37.41/claim|Median: $38.00
1.0× median
T1002Normal range

RN services, per 15 minutes

$121K

4,979 claims · 0.7%

Your Cost: $24.34/claim|Median: $37.42
0.7× median
D0120Top 1%

Periodic oral evaluation, established patient

$112K

363 claims · 0.6%

Your Cost: $308.20/claim|Median: $24.34
12.7× median
M0113Normal range

$47K

187 claims · 0.3%

Your Cost: $251.66/claim|Median: $397.30
0.6× median
M0299Normal range

$33K

1,463 claims · 0.2%

Your Cost: $22.83/claim|Median: $34.98
0.7× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$27K

455 claims · 0.1%

Your Cost: $58.62/claim|Median: $100.49
0.6× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$23K

461 claims · 0.1%

Your Cost: $50.12/claim|Median: $84.12
0.6× median
M0133Normal range

$21K

406 claims · 0.1%

Your Cost: $52.84/claim|Median: $84.70
0.6× median
T1003Normal range

LPN/LVN services, per 15 minutes

$19K

2,278 claims · 0.1%

Your Cost: $8.34/claim|Median: $24.24
0.3× median
M0315Normal range

$13K

511 claims · 0.1%

Your Cost: $24.53/claim|Median: $29.80
0.8× median
M0154Normal range

$8K

156 claims · 0.0%

Your Cost: $52.98/claim|Median: $52.98
1.0× median
M0298Normal range

$5K

528 claims · 0.0%

Your Cost: $8.79/claim|Median: $13.85
0.6× median
M0347Normal range

$1K

44 claims · 0.0%

Your Cost: $22.84/claim|Median: $35.62
0.6× median
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