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ONCE UPON A TIME HOME HEALTH, LLC

Home Health·SAN ANTONIO, TX·NPI: 1033527650Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.3M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2019-072024-12(53 months)

Total Paid

$24.3M

$24,266,362

Total Claims

269K

Beneficiaries

54K

5.0 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2019
$16K
+4016%
2020
$641K
+612%
2021
$4.6M
+24%
2022
$5.7M
+16%
2023
$6.5M
+4%
2024
$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 48% of total spending.

92507Top 25%

Speech/hearing/language treatment

$11.6M

136K claims · 47.7%

Your Cost: $84.99/claim|Median: $49.45
1.7× median
97530Top 10%

Therapeutic activities, each 15 min

$7.0M

78K claims · 29.0%

Your Cost: $90.52/claim|Median: $33.11
2.7× median
97110Top 5%

Therapeutic exercises, each 15 min

$2.6M

29K claims · 10.6%

Your Cost: $89.50/claim|Median: $24.49
3.7× median
92526Top 10%

Treatment of swallowing dysfunction and/or oral function

$1.8M

16K claims · 7.6%

Your Cost: $113.60/claim|Median: $49.74
2.3× median
S9152Top 10%

Speech therapy, re-evaluation

$454K

3,466 claims · 1.9%

Your Cost: $130.86/claim|Median: $92.99
1.4× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$281K

1,790 claims · 1.2%

Your Cost: $157.02/claim|Median: $110.87
1.4× median
97168Top 25%

OT re-evaluation

$220K

2,226 claims · 0.9%

Your Cost: $98.85/claim|Median: $50.43
2.0× median
97167Normal range

OT evaluation, high complexity

$134K

1,228 claims · 0.6%

Your Cost: $108.82/claim|Median: $70.96
1.5× median
97164Top 5%

PT re-evaluation

$85K

855 claims · 0.3%

Your Cost: $98.98/claim|Median: $32.66
3.0× median
97163Top 25%

PT evaluation, high complexity

$64K

601 claims · 0.3%

Your Cost: $106.79/claim|Median: $50.34
2.1× median
92610Top 10%

Evaluation of swallowing function

$24K

151 claims · 0.1%

Your Cost: $159.55/claim|Median: $45.22
3.5× median