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Provider 1013919620

NPI: 1013919620Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,148,354

Total Claims

408K

Beneficiaries

120K

3.4 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$810K
+67%
2019
$1.4M
-15%
2020
$1.1M
+28%
2021
$1.5M
+7%
2022
$1.6M
+26%
2023
$2.0M
-9%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 27% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$2.8M

82K claims · 27.5%

Your Cost: $34.16/claim|Median: $33.11
1.0× median
97150Top 10%

Therapeutic procedure, group (2+ patients)

$2.6M

52K claims · 25.4%

Your Cost: $49.18/claim|Median: $12.12
4.1× median
97110Normal range

Therapeutic exercises, each 15 min

$2.0M

82K claims · 19.2%

Your Cost: $23.79/claim|Median: $24.49
1.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.5M

61K claims · 14.5%

Your Cost: $24.09/claim|Median: $20.04
1.2× median
97140Normal range

Manual therapy techniques, per 15 minutes

$351K

47K claims · 3.5%

Your Cost: $7.54/claim|Median: $16.79
0.4× median
97161Normal range

Physical therapy evaluation, low complexity

$283K

6,145 claims · 2.8%

Your Cost: $46.00/claim|Median: $47.89
1.0× median
97010Normal range

Hot/cold packs application

$192K

39K claims · 1.9%

Your Cost: $4.92/claim|Median: $4.47
1.1× median
97162Normal range

PT evaluation, moderate complexity

$122K

3,251 claims · 1.2%

Your Cost: $37.52/claim|Median: $46.10
0.8× median
92507Normal range

Speech/hearing/language treatment

$91K

1,512 claims · 0.9%

Your Cost: $60.35/claim|Median: $49.45
1.2× median
97116Normal range

Gait training

$82K

4,961 claims · 0.8%

Your Cost: $16.60/claim|Median: $12.48
1.3× median
97016Normal range

$78K

8,312 claims · 0.8%

Your Cost: $9.44/claim|Median: $8.30
1.1× median
97542Normal range

Wheelchair management training

$49K

1,903 claims · 0.5%

Your Cost: $25.93/claim|Median: $18.66
1.4× median
97014Normal range

Electrical stimulation, unattended

$43K

8,875 claims · 0.4%

Your Cost: $4.87/claim|Median: $8.83
0.6× median
97166Normal range

OT evaluation, moderate complexity

$42K

1,122 claims · 0.4%

Your Cost: $37.49/claim|Median: $48.74
0.8× median
97164Normal range

PT re-evaluation

$10K

348 claims · 0.1%

Your Cost: $28.01/claim|Median: $32.66
0.9× median
G8978Normal range

$2K

1,360 claims · 0.0%

Your Cost: $1.70/claim|Median: $5.17
0.3× median
G0283Normal range

$2K

3,357 claims · 0.0%

Your Cost: $0.62/claim|Median: $3.52
0.2× median
97760Normal range

$2K

219 claims · 0.0%

Your Cost: $8.51/claim|Median: $30.29
0.3× median
97018Normal range

Paraffin bath therapy

$2K

290 claims · 0.0%

Your Cost: $5.30/claim|Median: $5.30
1.0× median
97022Normal range

$1K

336 claims · 0.0%

Your Cost: $3.35/claim|Median: $8.28
0.4× median
97163Normal range

PT evaluation, high complexity

$1K

41 claims · 0.0%

Your Cost: $26.01/claim|Median: $50.34
0.5× median
G8979Normal range

$898

1,473 claims · 0.0%

Your Cost: $0.61/claim|Median: $3.96
0.2× median
97535Normal range

Self-care/home management training, per 15 minutes

$862

34 claims · 0.0%

Your Cost: $25.36/claim|Median: $18.18
1.4× median
G8984Normal range

$852

419 claims · 0.0%

Your Cost: $2.03/claim|Median: $0.30
6.8× median
97165Normal range

OT evaluation, low complexity

$802

12 claims · 0.0%

Your Cost: $66.82/claim|Median: $46.78
1.4× median
97763Normal range

$381

45 claims · 0.0%

Your Cost: $8.47/claim|Median: $34.99
0.2× median
97750Normal range

$323

14 claims · 0.0%

Your Cost: $23.07/claim|Median: $30.89
0.7× median
G8985Normal range

$194

460 claims · 0.0%

Your Cost: $0.42/claim|Median: $0.25
1.7× median
97032Normal range

Electrical stimulation, manual

$110

25 claims · 0.0%

Your Cost: $4.39/claim|Median: $9.42
0.5× median
G8981Normal range

$109

125 claims · 0.0%

Your Cost: $0.87/claim|Median: $13.79
0.1× median
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