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Provider 1104198472

NPI: 1104198472Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.9M

$15,921,532

Total Claims

242K

Beneficiaries

89K

2.7 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$890K
+50%
2019
$1.3M
+24%
2020
$1.7M
+43%
2021
$2.4M
+20%
2022
$2.8M
+26%
2023
$3.6M
-9%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (S9128 (Speech therapy, in the home, per diem)) accounts for 38% of total spending.

S9128Normal range

Speech therapy, in the home, per diem

$6.0M

78K claims · 37.8%

Your Cost: $77.62/claim|Median: $72.77
1.1× median
97530Top 25%

Therapeutic activities, each 15 min

$4.9M

76K claims · 30.7%

Your Cost: $64.25/claim|Median: $33.11
1.9× median
90837Normal range

Psychotherapy, 60 minutes

$1.5M

19K claims · 9.4%

Your Cost: $79.63/claim|Median: $85.66
0.9× median
97533Normal range

$1.0M

19K claims · 6.5%

Your Cost: $55.70/claim|Median: $48.71
1.1× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$538K

3,498 claims · 3.4%

Your Cost: $153.71/claim|Median: $167.38
0.9× median
S9129Normal range

OT, in the home, per diem

$503K

8,478 claims · 3.2%

Your Cost: $59.30/claim|Median: $76.61
0.8× median
92507Normal range

Speech/hearing/language treatment

$436K

8,676 claims · 2.7%

Your Cost: $50.20/claim|Median: $49.45
1.0× median
S9131Normal range

Physical therapy, in the home, per diem

$195K

3,098 claims · 1.2%

Your Cost: $62.88/claim|Median: $90.35
0.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$170K

1,418 claims · 1.1%

Your Cost: $120.23/claim|Median: $146.45
0.8× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$148K

5,568 claims · 0.9%

Your Cost: $26.63/claim|Median: $20.04
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$130K

1,460 claims · 0.8%

Your Cost: $88.75/claim|Median: $99.21
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$85K

1,548 claims · 0.5%

Your Cost: $54.72/claim|Median: $63.65
0.9× median
92523Normal range

Evaluation of speech sound production with language comprehension

$83K

720 claims · 0.5%

Your Cost: $115.68/claim|Median: $110.87
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$63K

1,466 claims · 0.4%

Your Cost: $42.92/claim|Median: $41.28
1.0× median
97535Normal range

Self-care/home management training, per 15 minutes

$53K

2,027 claims · 0.3%

Your Cost: $25.99/claim|Median: $18.18
1.4× median
H0032Normal range

Mental health service plan development

$29K

486 claims · 0.2%

Your Cost: $59.72/claim|Median: $80.64
0.7× median
92609Normal range

$19K

308 claims · 0.1%

Your Cost: $63.23/claim|Median: $59.78
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$19K

979 claims · 0.1%

Your Cost: $19.77/claim|Median: $24.49
0.8× median
97151Normal range

Behavior identification assessment

$6K

39 claims · 0.0%

Your Cost: $165.89/claim|Median: $161.10
1.0× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$4K

84 claims · 0.0%

Your Cost: $49.82/claim|Median: $49.74
1.0× median
96112Normal range

Developmental test administration

$2K

18 claims · 0.0%

Your Cost: $92.30/claim|Median: $102.95
0.9× median
97166Normal range

OT evaluation, moderate complexity

$1K

33 claims · 0.0%

Your Cost: $45.42/claim|Median: $48.74
0.9× median
97162Top 25%

PT evaluation, moderate complexity

$818

12 claims · 0.0%

Your Cost: $68.18/claim|Median: $46.10
1.5× median
97156Normal range

$763

20 claims · 0.0%

Your Cost: $38.14/claim|Median: $88.65
0.4× median
99072Normal range

$681

7,710 claims · 0.0%

Your Cost: $0.09/claim|Median: $0.54
0.2× median
888888Normal range

$0

2,948 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
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