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Provider 1073826319

NPI: 1073826319Share
Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 65% of $11.8M billed through just 2 codes

Total Paid

$11.8M

$11,830,162

Total Claims

28K

Beneficiaries

6,395

4.4 claims/patient

Avg Cost/Claim

$419

Monthly Spending Trend

Yearly Spending

2018
$794K
+64%
2019
$1.3M
-11%
2020
$1.2M
+12%
2021
$1.3M
+60%
2022
$2.1M
+27%
2023
$2.7M
-4%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (97150 (Therapeutic procedure, group (2+ patients))) accounts for 65% of total spending.

97150Top 5%

Therapeutic procedure, group (2+ patients)

$7.7M

19K claims · 65.1%

Your Cost: $401.17/claim|Median: $12.12
33.1× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$4.1M

9,052 claims · 34.9%

Your Cost: $455.78/claim|Median: $150.51
3.0× median