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Provider 1003960659

NPI: 1003960659Share
Active Billing Period:2018-01→2024-09(71 months)

Total Paid

$17.1M

$17,069,499

Total Claims

100K

Beneficiaries

27K

3.7 claims/patient

Avg Cost/Claim

$171

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+14%
2019
$1.6M
-7%
2020
$1.5M
+98%
2021
$2.9M
+12%
2022
$3.3M
+8%
2023
$3.5M
-21%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2014 (Skills training & development, per 15 min)) accounts for 42% of total spending.

H2014Top 10%

Skills training & development, per 15 min

$7.2M

18K claims · 42.4%

Your Cost: $400.72/claim|Median: $83.88
4.8× median
H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$5.5M

9,166 claims · 32.3%

Your Cost: $600.61/claim|Median: $74.63
8.0× median
96152Top 1%

Health behavior intervention, individual

$2.6M

5,392 claims · 15.5%

Your Cost: $490.55/claim|Median: $20.02
24.5× median
97530Top 25%

Therapeutic activities, each 15 min

$596K

9,457 claims · 3.5%

Your Cost: $63.06/claim|Median: $33.11
1.9× median
92507Normal range

Speech/hearing/language treatment

$579K

30K claims · 3.4%

Your Cost: $19.38/claim|Median: $49.45
0.4× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$163K

5,483 claims · 1.0%

Your Cost: $29.77/claim|Median: $84.12
0.4× median
92508Normal range

Treatment of speech/language disorder, group, 2+ patients

$137K

20K claims · 0.8%

Your Cost: $6.98/claim|Median: $13.22
0.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$84K

1,646 claims · 0.5%

Your Cost: $51.05/claim|Median: $24.49
2.1× median
96130Normal range

Psychological testing evaluation by professional, first hour

$41K

397 claims · 0.2%

Your Cost: $103.49/claim|Median: $79.21
1.3× median
T1019Normal range

Personal care services, per 15 min

$39K

378 claims · 0.2%

Your Cost: $102.03/claim|Median: $82.47
1.2× median
92523Normal range

Evaluation of speech sound production with language comprehension

$19K

148 claims · 0.1%

Your Cost: $126.57/claim|Median: $110.87
1.1× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$7K

178 claims · 0.0%

Your Cost: $38.06/claim|Median: $30.49
1.2× median
T1001Normal range

Nursing assessment/evaluation, per visit

$3K

51 claims · 0.0%

Your Cost: $50.95/claim|Median: $49.05
1.0× median
92522Top 25%

Evaluation of speech sound production

$2K

29 claims · 0.0%

Your Cost: $79.99/claim|Median: $32.17
2.5× median
96101Normal range

$2K

26 claims · 0.0%

Your Cost: $71.92/claim|Median: $196.08
0.4× median
96131Normal range

Psychological testing evaluation, each additional hour

$945

12 claims · 0.0%

Your Cost: $78.78/claim|Median: $133.38
0.6× median
97166Top 25%

OT evaluation, moderate complexity

$939

12 claims · 0.0%

Your Cost: $78.28/claim|Median: $48.74
1.6× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$595

14 claims · 0.0%

Your Cost: $42.51/claim|Median: $92.96
0.5× median
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