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Provider 1033291331

NPI: 1033291331Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.9M

$15,855,547

Total Claims

608K

Beneficiaries

252K

2.4 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-12%
2019
$2.3M
-33%
2020
$1.6M
-1%
2021
$1.5M
+13%
2022
$1.7M
+84%
2023
$3.2M
-8%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 25% of total spending.

92507Normal range

Speech/hearing/language treatment

$3.9M

100K claims · 24.8%

Your Cost: $39.35/claim|Median: $49.45
0.8× median
96130Top 5%

Psychological testing evaluation by professional, first hour

$2.7M

9,041 claims · 17.1%

Your Cost: $300.25/claim|Median: $79.21
3.8× median
92508Normal range

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

$2.4M

164K claims · 14.9%

Your Cost: $14.42/claim|Median: $13.22
1.1× median
96152Normal range

Health behavior intervention, individual

$1.2M

34K claims · 7.7%

Your Cost: $35.96/claim|Median: $20.02
1.8× median
96158Top 25%

$1.2M

24K claims · 7.5%

Your Cost: $48.62/claim|Median: $28.43
1.7× median
T2003Normal range

Non-emergency transport; encounter/trip

$1.1M

55K claims · 6.8%

Your Cost: $19.58/claim|Median: $21.70
0.9× median
T1001Normal range

Nursing assessment/evaluation, per visit

$550K

7,294 claims · 3.5%

Your Cost: $75.37/claim|Median: $49.05
1.5× median
A0425Normal range

Ground mileage, per statute mile

$495K

55K claims · 3.1%

Your Cost: $8.97/claim|Median: $23.36
0.4× median
T1003Normal range

LPN/LVN services, per 15 minutes

$479K

33K claims · 3.0%

Your Cost: $14.38/claim|Median: $24.24
0.6× median
T1002Normal range

RN services, per 15 minutes

$424K

18K claims · 2.7%

Your Cost: $23.94/claim|Median: $37.42
0.6× median
96101Top 25%

$327K

1,319 claims · 2.1%

Your Cost: $247.97/claim|Median: $196.08
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$285K

34K claims · 1.8%

Your Cost: $8.33/claim|Median: $6.61
1.3× median
92523Normal range

Evaluation of speech sound production with language comprehension

$240K

4,103 claims · 1.5%

Your Cost: $58.59/claim|Median: $110.87
0.5× median
99173Normal range

$141K

33K claims · 0.9%

Your Cost: $4.22/claim|Median: $2.16
2.0× median
96156Normal range

$129K

9,710 claims · 0.8%

Your Cost: $13.31/claim|Median: $22.36
0.6× median
96150Top 25%

Health behavior assessment, initial

$73K

2,480 claims · 0.5%

Your Cost: $29.43/claim|Median: $17.83
1.7× median
96159Normal range

$71K

3,903 claims · 0.4%

Your Cost: $18.17/claim|Median: $20.68
0.9× median
96153Normal range

Health/behavior intervention, group

$65K

9,797 claims · 0.4%

Your Cost: $6.67/claim|Median: $6.67
1.0× median
96164Normal range

$32K

3,018 claims · 0.2%

Your Cost: $10.72/claim|Median: $9.87
1.1× median
T1004Normal range

Services of a qualified nursing aide, per 15 minutes

$20K

2,783 claims · 0.1%

Your Cost: $7.27/claim|Median: $50.30
0.1× median
92522Normal range

Evaluation of speech sound production

$7K

245 claims · 0.0%

Your Cost: $28.94/claim|Median: $32.17
0.9× median
97167Top 25%

OT evaluation, high complexity

$6K

49 claims · 0.0%

Your Cost: $126.01/claim|Median: $70.96
1.8× median
99401Normal range

$6K

385 claims · 0.0%

Your Cost: $14.66/claim|Median: $16.53
0.9× median
97003Top 25%

$4K

31 claims · 0.0%

Your Cost: $117.08/claim|Median: $98.97
1.2× median
T1017Normal range

Targeted case management, per 15 min

$2K

37 claims · 0.0%

Your Cost: $54.93/claim|Median: $69.56
0.8× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$2K

653 claims · 0.0%

Your Cost: $2.39/claim|Median: $15.54
0.2× median
92552Normal range

Pure tone audiometry, air only, each ear

$676

56 claims · 0.0%

Your Cost: $12.08/claim|Median: $12.63
1.0× median
96151Normal range

Health behavior reassessment

$380

26 claims · 0.0%

Your Cost: $14.62/claim|Median: $15.43
0.9× median
90713Normal range

Poliovirus vaccine (IPV)

$134

29 claims · 0.0%

Your Cost: $4.61/claim|Median: $5.41
0.9× median
90716Normal range

$117

90 claims · 0.0%

Your Cost: $1.30/claim|Median: $6.18
0.2× median
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