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Provider 1992859888

NPI: 1992859888Share
Active Billing Period:2018-01→2019-12(24 months)
Billing appears to have stoppedLast active: 2019-12

Total Paid

$13.3M

$13,341,512

Total Claims

71K

Beneficiaries

47K

1.5 claims/patient

Avg Cost/Claim

$187

Monthly Spending Trend

Yearly Spending

2018
$12.9M
-96%
2019
$453K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (T1001 (Nursing assessment/evaluation, per visit)) accounts for 65% of total spending.

T1001Top 5%

Nursing assessment/evaluation, per visit

$8.7M

37K claims · 64.9%

Your Cost: $233.82/claim|Median: $49.05
4.8× median
S9131Top 10%

Physical therapy, in the home, per diem

$1.6M

10K claims · 11.8%

Your Cost: $156.57/claim|Median: $90.35
1.7× median
S9129Top 5%

OT, in the home, per diem

$1.1M

6,290 claims · 7.9%

Your Cost: $167.02/claim|Median: $76.61
2.2× median
S9127Normal range

Social work visit, in the home, per diem

$726K

5,729 claims · 5.4%

Your Cost: $126.65/claim|Median: $98.75
1.3× median
S9470Top 1%

Nutritional counseling

$535K

2,286 claims · 4.0%

Your Cost: $233.83/claim|Median: $16.62
14.1× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$399K

3,203 claims · 3.0%

Your Cost: $124.46/claim|Median: $53.41
2.3× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$314K

3,682 claims · 2.4%

Your Cost: $85.39/claim|Median: $37.81
2.3× median
99215Top 10%

Office/outpatient visit, high complexity

$32K

186 claims · 0.2%

Your Cost: $170.50/claim|Median: $74.09
2.3× median
99212Top 25%

Office/outpatient visit, low complexity

$30K

573 claims · 0.2%

Your Cost: $52.00/claim|Median: $25.06
2.1× median
99499Top 25%

Unlisted evaluation and management service

$6K

115 claims · 0.0%

Your Cost: $50.00/claim|Median: $30.88
1.6× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$5K

24 claims · 0.0%

Your Cost: $193.85/claim|Median: $84.03
2.3× median
82947Top 25%

Blood glucose level test

$4K

837 claims · 0.0%

Your Cost: $4.58/claim|Median: $2.38
1.9× median
94760Top 25%

Pulse oximetry, single reading, noninvasive

$4K

1,019 claims · 0.0%

Your Cost: $3.62/claim|Median: $0.79
4.6× median
90658Top 1%

$3K

66 claims · 0.0%

Your Cost: $50.00/claim|Median: $8.96
5.6× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$2K

110 claims · 0.0%

Your Cost: $20.50/claim|Median: $9.70
2.1× median
S9128Top 25%

Speech therapy, in the home, per diem

$2K

16 claims · 0.0%

Your Cost: $126.26/claim|Median: $72.77
1.7× median
99349Top 25%

$825

12 claims · 0.0%

Your Cost: $68.72/claim|Median: $24.29
2.8× median
36415Top 25%

Collection of venous blood by venipuncture

$628

228 claims · 0.0%

Your Cost: $2.75/claim|Median: $1.57
1.8× median
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