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Ivan Sanchez

Physical Therapist·Las Vegas, NV·NPI: 1063890812SharePrint ReportML Risk: 83%

Compared to Physical Therapist Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $152K is at the 50th percentile among 20 Physical Therapist providers.

Total Paid

$152K

$152,028

Total Claims

4,053

Beneficiaries

1,825

2.2 claims/patient

Avg Cost/Claim

$38

🔍 Analysis

Provider Overview

Ivan Sanchez is a Physical Therapist provider based in Las Vegas, NV. From 2018-01 through 2018-12, this provider received $152K in Medicaid payments across 4K claims serving 2K beneficiaries, billing 5 distinct procedure codes.

Key Findings

  • 📊Bills 1.9× the national median for 97110 (97110), at $46 per claim vs. the median of $24, placing them above the 75th percentile.
  • 📊Billing stopped in 2018-12, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 55% of total spending.

97110Top 25%

Therapeutic exercises, each 15 min

$84K

1,825 claims · 55.4%

Your Cost: $46.15/claim|Median: $24.49
1.9× median
97530Normal range

Therapeutic activities, each 15 min

$54K

1,319 claims · 35.7%

Your Cost: $41.10/claim|Median: $33.11
1.2× median
97163Normal range

PT evaluation, high complexity

$10K

157 claims · 6.4%

Your Cost: $62.36/claim|Median: $50.34
1.2× median
97010Normal range

Hot/cold packs application

$2K

679 claims · 1.6%

Your Cost: $3.53/claim|Median: $4.47
0.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1K

73 claims · 0.9%

Your Cost: $19.10/claim|Median: $16.79
1.1× median