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Provider 1114257920

NPI: 1114257920Share
Active Billing Period:2019-02→2024-11(69 months)

Total Paid

$13.3M

$13,294,673

Total Claims

179K

Beneficiaries

29K

6.2 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2019
$1.2M
+77%
2020
$2.2M
+18%
2021
$2.6M
+5%
2022
$2.7M
+6%
2023
$2.9M
-37%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 25% of total spending.

92507Top 25%

Speech/hearing/language treatment

$3.3M

42K claims · 25.1%

Your Cost: $78.73/claim|Median: $49.45
1.6× median
H2014Normal range

Skills training & development, per 15 min

$3.2M

33K claims · 23.7%

Your Cost: $94.78/claim|Median: $83.88
1.1× median
H2027Normal range

Psychoeducational service, per 15 minutes

$1.4M

14K claims · 10.7%

Your Cost: $101.20/claim|Median: $82.72
1.2× median
T1017Normal range

Targeted case management, per 15 min

$1.2M

37K claims · 9.2%

Your Cost: $33.14/claim|Median: $69.56
0.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$1.1M

11K claims · 8.1%

Your Cost: $101.75/claim|Median: $84.12
1.2× median
97110Top 10%

Therapeutic exercises, each 15 min

$718K

9,328 claims · 5.4%

Your Cost: $77.02/claim|Median: $24.49
3.1× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$611K

18K claims · 4.6%

Your Cost: $34.58/claim|Median: $27.28
1.3× median
96112Top 5%

Developmental test administration

$431K

1,205 claims · 3.2%

Your Cost: $357.53/claim|Median: $102.95
3.5× median
97530Top 25%

Therapeutic activities, each 15 min

$419K

5,414 claims · 3.1%

Your Cost: $77.34/claim|Median: $33.11
2.3× median
92523Top 5%

Evaluation of speech sound production with language comprehension

$329K

1,014 claims · 2.5%

Your Cost: $324.16/claim|Median: $110.87
2.9× median
H2037Top 1%

$291K

3,072 claims · 2.2%

Your Cost: $94.75/claim|Median: $83.80
1.1× median
97535Top 10%

Self-care/home management training, per 15 minutes

$208K

2,790 claims · 1.6%

Your Cost: $74.59/claim|Median: $18.18
4.1× median
97129Top 10%

$34K

434 claims · 0.3%

Your Cost: $79.49/claim|Median: $17.39
4.6× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$18K

319 claims · 0.1%

Your Cost: $55.15/claim|Median: $20.04
2.8× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$8K

48 claims · 0.1%

Your Cost: $169.18/claim|Median: $79.21
2.1× median
97116Top 5%

Gait training

$6K

79 claims · 0.0%

Your Cost: $79.79/claim|Median: $12.48
6.4× median
97167Top 5%

OT evaluation, high complexity

$3K

15 claims · 0.0%

Your Cost: $215.13/claim|Median: $70.96
3.0× median
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