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Provider 1003819608

NPI: 1003819608Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,342,968

Total Claims

359K

Beneficiaries

103K

3.5 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$929K
+21%
2019
$1.1M
-16%
2020
$936K
+43%
2021
$1.3M
-11%
2022
$1.2M
+15%
2023
$1.4M
+7%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 34% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$2.8M

120K claims · 34.0%

Your Cost: $23.66/claim|Median: $24.49
1.0× median
97530Normal range

Therapeutic activities, each 15 min

$2.1M

91K claims · 25.5%

Your Cost: $23.40/claim|Median: $33.11
0.7× median
92507Normal range

Speech/hearing/language treatment

$1.6M

40K claims · 19.7%

Your Cost: $41.02/claim|Median: $49.45
0.8× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$804K

49K claims · 9.6%

Your Cost: $16.50/claim|Median: $20.04
0.8× median
97014Normal range

Electrical stimulation, unattended

$270K

26K claims · 3.2%

Your Cost: $10.53/claim|Median: $8.83
1.2× median
97161Normal range

Physical therapy evaluation, low complexity

$230K

3,692 claims · 2.8%

Your Cost: $62.28/claim|Median: $47.89
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$175K

8,864 claims · 2.1%

Your Cost: $19.74/claim|Median: $16.79
1.2× median
97016Normal range

$89K

7,897 claims · 1.1%

Your Cost: $11.29/claim|Median: $8.30
1.4× median
97116Normal range

Gait training

$71K

6,224 claims · 0.8%

Your Cost: $11.35/claim|Median: $12.48
0.9× median
97533Normal range

$66K

5,840 claims · 0.8%

Your Cost: $11.38/claim|Median: $48.71
0.2× median
92523Normal range

Evaluation of speech sound production with language comprehension

$17K

140 claims · 0.2%

Your Cost: $123.54/claim|Median: $110.87
1.1× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$6K

210 claims · 0.1%

Your Cost: $27.66/claim|Median: $49.74
0.6× median
97165Normal range

OT evaluation, low complexity

$3K

92 claims · 0.0%

Your Cost: $35.56/claim|Median: $46.78
0.8× median
97033Top 25%

Iontophoresis

$3K

139 claims · 0.0%

Your Cost: $22.26/claim|Median: $13.74
1.6× median
97035Top 25%

Ultrasound therapy

$2K

153 claims · 0.0%

Your Cost: $12.77/claim|Median: $7.31
1.7× median
97162Top 25%

PT evaluation, moderate complexity

$2K

27 claims · 0.0%

Your Cost: $65.77/claim|Median: $46.10
1.4× median
G0283Top 25%

$330

27 claims · 0.0%

Your Cost: $12.22/claim|Median: $3.52
3.5× median
97535Normal range

Self-care/home management training, per 15 minutes

$0

687 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.18
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