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Provider 1043769615

NPI: 1043769615Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.4M

$10,375,069

Total Claims

90K

Beneficiaries

52K

1.7 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2018
$333K
+77%
2019
$589K
+63%
2020
$961K
+60%
2021
$1.5M
+30%
2022
$2.0M
+29%
2023
$2.6M
-8%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (G0153 (Services of SLP in home health, per 15 min)) accounts for 28% of total spending.

G0153Top 25%

Services of SLP in home health, per 15 min

$2.9M

22K claims · 28.4%

Your Cost: $136.02/claim|Median: $101.43
1.3× median
G0151Top 25%

Physical therapy services, home health, per visit

$2.0M

16K claims · 19.2%

Your Cost: $127.31/claim|Median: $67.94
1.9× median
G0152Top 25%

Occupational therapy services, home health, per visit

$1.5M

11K claims · 14.6%

Your Cost: $132.73/claim|Median: $68.93
1.9× median
T2022Normal range

Case management, per month

$1.0M

7,087 claims · 9.8%

Your Cost: $143.55/claim|Median: $202.77
0.7× median
92507Normal range

Speech/hearing/language treatment

$856K

15K claims · 8.3%

Your Cost: $58.97/claim|Median: $49.45
1.2× median
97530Top 25%

Therapeutic activities, each 15 min

$840K

10K claims · 8.1%

Your Cost: $80.12/claim|Median: $33.11
2.4× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$728K

3,399 claims · 7.0%

Your Cost: $214.18/claim|Median: $106.70
2.0× median
97110Top 10%

Therapeutic exercises, each 15 min

$249K

3,456 claims · 2.4%

Your Cost: $72.13/claim|Median: $24.49
2.9× median
T1027Top 25%

Family training and counseling, per 15 minutes

$94K

1,186 claims · 0.9%

Your Cost: $79.07/claim|Median: $53.00
1.5× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$91K

1,134 claims · 0.9%

Your Cost: $80.39/claim|Median: $119.08
0.7× median
92523Normal range

Evaluation of speech sound production with language comprehension

$43K

378 claims · 0.4%

Your Cost: $114.89/claim|Median: $110.87
1.0× median
97165Top 25%

OT evaluation, low complexity

$12K

171 claims · 0.1%

Your Cost: $69.66/claim|Median: $46.78
1.5× median
97161Normal range

Physical therapy evaluation, low complexity

$866

15 claims · 0.0%

Your Cost: $57.74/claim|Median: $47.89
1.2× median