Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1104927342

NPI: 1104927342Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,990,061

Total Claims

323K

Beneficiaries

101K

3.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+64%
2019
$3.3M
-23%
2020
$2.5M
-29%
2021
$1.8M
-16%
2022
$1.5M
-31%
2023
$1.0M
-29%
2024
$748K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 49% of total spending.

97530Top 10%

Therapeutic activities, each 15 min

$6.4M

69K claims · 49.0%

Your Cost: $92.68/claim|Median: $33.11
2.8× median
97110Top 10%

Therapeutic exercises, each 15 min

$3.9M

54K claims · 30.4%

Your Cost: $72.52/claim|Median: $24.49
3.0× median
97014Normal range

Electrical stimulation, unattended

$804K

70K claims · 6.2%

Your Cost: $11.53/claim|Median: $8.83
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$754K

36K claims · 5.8%

Your Cost: $20.76/claim|Median: $16.79
1.2× median
29200Top 25%

$303K

9,570 claims · 2.3%

Your Cost: $31.63/claim|Median: $20.24
1.6× median
97010Normal range

Hot/cold packs application

$296K

69K claims · 2.3%

Your Cost: $4.27/claim|Median: $4.47
1.0× median
97161Normal range

Physical therapy evaluation, low complexity

$221K

4,230 claims · 1.7%

Your Cost: $52.31/claim|Median: $47.89
1.1× median
97164Normal range

PT re-evaluation

$88K

3,251 claims · 0.7%

Your Cost: $26.92/claim|Median: $32.66
0.8× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$88K

3,808 claims · 0.7%

Your Cost: $22.98/claim|Median: $20.04
1.1× median
97162Normal range

PT evaluation, moderate complexity

$57K

1,175 claims · 0.4%

Your Cost: $48.81/claim|Median: $46.10
1.1× median
29530Top 25%

$26K

801 claims · 0.2%

Your Cost: $32.17/claim|Median: $14.43
2.2× median
97113Top 5%

$14K

119 claims · 0.1%

Your Cost: $120.84/claim|Median: $51.02
2.4× median
29240Top 25%

$13K

358 claims · 0.1%

Your Cost: $37.30/claim|Median: $19.34
1.9× median
97535Normal range

Self-care/home management training, per 15 minutes

$6K

233 claims · 0.0%

Your Cost: $25.24/claim|Median: $18.18
1.4× median
29540Top 10%

$4K

128 claims · 0.0%

Your Cost: $28.40/claim|Median: $13.93
2.0× median
G0283Normal range

$271

248 claims · 0.0%

Your Cost: $1.09/claim|Median: $3.52
0.3× median
← All providersHow we detect fraud →