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Unknown Provider A248023900

NPI: A248023900Share
Active Billing Period:2018-012019-10(22 months)
Billing appears to have stoppedLast active: 2019-10

Total Paid

$83.6M

$83,648,858

Total Claims

493K

Beneficiaries

35K

14.3 claims/patient

Avg Cost/Claim

$170

Monthly Spending Trend

Yearly Spending

2018
$46.5M
-20%
2019
$37.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 56% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$46.8M

173K claims · 55.9%

Your Cost: $270.76/claim|Median: $331.94
0.8× median
S5140Normal range

Foster care, adult; per diem

$26.5M

116K claims · 31.6%

Your Cost: $227.22/claim|Median: $252.32
0.9× median
T1016Normal range

Case management, each 15 min

$4.0M

104K claims · 4.8%

Your Cost: $38.54/claim|Median: $49.62
0.8× median
T2034Normal range

Crisis intervention, per 15 min

$1.8M

39K claims · 2.2%

Your Cost: $46.55/claim|Median: $254.45
0.2× median
H2032Normal range

Activity therapy, per 15 minutes

$1.6M

18K claims · 1.9%

Your Cost: $85.80/claim|Median: $108.23
0.8× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$1.2M

18K claims · 1.5%

Your Cost: $68.78/claim|Median: $88.91
0.8× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$926K

13K claims · 1.1%

Your Cost: $73.00/claim|Median: $137.32
0.5× median
S5125Top 25%

Attendant care services, per 15 min

$695K

4,973 claims · 0.8%

Your Cost: $139.78/claim|Median: $82.34
1.7× median
T2003Normal range

Non-emergency transport; encounter/trip

$143K

4,915 claims · 0.2%

Your Cost: $29.06/claim|Median: $21.70
1.3× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$20K

2,274 claims · 0.0%

Your Cost: $8.92/claim|Median: $21.33
0.4× median
T2031Normal range

Waiver services, not otherwise specified

$0

189 claims · 0.0%

Your Cost: $0.00/claim|Median: $853.15