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Provider 1043388648

NPI: 1043388648Share
Active Billing Period:2018-01→2024-09(75 months)

Total Paid

$8.2M

$8,233,727

Total Claims

361K

Beneficiaries

103K

3.5 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-20%
2019
$1.4M
-41%
2020
$819K
+32%
2021
$1.1M
-8%
2022
$996K
+51%
2023
$1.5M
-52%
2024
$724K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (92508 (Treatment of speech/language disorder, group, 2+ patients)) accounts for 49% of total spending.

92508Normal range

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

$4.0M

281K claims · 48.6%

Your Cost: $14.25/claim|Median: $13.22
1.1× median
96130Top 10%

Psychological testing evaluation by professional, first hour

$1.5M

5,217 claims · 18.3%

Your Cost: $288.51/claim|Median: $79.21
3.6× median
92507Normal range

Speech/hearing/language treatment

$655K

16K claims · 7.9%

Your Cost: $39.75/claim|Median: $49.45
0.8× median
T1003Normal range

LPN/LVN services, per 15 minutes

$545K

21K claims · 6.6%

Your Cost: $25.71/claim|Median: $24.24
1.1× median
T1001Normal range

Nursing assessment/evaluation, per visit

$540K

7,209 claims · 6.6%

Your Cost: $74.86/claim|Median: $49.05
1.5× median
96101Top 25%

$382K

1,568 claims · 4.6%

Your Cost: $243.80/claim|Median: $196.08
1.2× median
92523Normal range

Evaluation of speech sound production with language comprehension

$269K

4,916 claims · 3.3%

Your Cost: $54.81/claim|Median: $110.87
0.5× median
T2003Normal range

Non-emergency transport; encounter/trip

$173K

9,358 claims · 2.1%

Your Cost: $18.50/claim|Median: $21.70
0.9× median
T1002Normal range

RN services, per 15 minutes

$73K

2,560 claims · 0.9%

Your Cost: $28.59/claim|Median: $37.42
0.8× median
A0425Normal range

Ground mileage, per statute mile

$59K

9,796 claims · 0.7%

Your Cost: $6.06/claim|Median: $23.36
0.3× median
92522Normal range

Evaluation of speech sound production

$17K

727 claims · 0.2%

Your Cost: $22.91/claim|Median: $32.17
0.7× median
92521Normal range

Evaluation of speech fluency

$4K

113 claims · 0.0%

Your Cost: $34.04/claim|Median: $31.97
1.1× median
99173Normal range

$3K

739 claims · 0.0%

Your Cost: $4.18/claim|Median: $2.16
1.9× median
92551Normal range

Screening audiometry, pure tone, air only

$3K

319 claims · 0.0%

Your Cost: $8.60/claim|Median: $6.61
1.3× median
92557Top 5%

Comprehensive audiometry, air, bone, and speech testing

$1K

13 claims · 0.0%

Your Cost: $85.77/claim|Median: $27.28
3.1× median
96153Normal range

Health/behavior intervention, group

$297

43 claims · 0.0%

Your Cost: $6.90/claim|Median: $6.67
1.0× median
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