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

⚖️ Compare🖨️ Print Report

Provider 1114315801

NPI: 1114315801Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.2M

$17,208,822

Total Claims

268K

Beneficiaries

96K

2.8 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$52K
+1051%
2019
$601K
+194%
2020
$1.8M
+103%
2021
$3.6M
-1%
2022
$3.6M
+2%
2023
$3.6M
+10%
2024
$4.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 47% of total spending.

97530Top 25%

Therapeutic activities, each 15 min

$8.0M

104K claims · 46.7%

Your Cost: $77.00/claim|Median: $33.11
2.3× median
92507Normal range

Speech/hearing/language treatment

$6.2M

116K claims · 36.0%

Your Cost: $53.53/claim|Median: $49.45
1.1× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$2.2M

36K claims · 12.7%

Your Cost: $59.74/claim|Median: $49.74
1.2× median
92523Normal range

Evaluation of speech sound production with language comprehension

$399K

3,132 claims · 2.3%

Your Cost: $127.42/claim|Median: $110.87
1.1× median
92610Normal range

Evaluation of swallowing function

$177K

3,088 claims · 1.0%

Your Cost: $57.40/claim|Median: $45.22
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$115K

2,866 claims · 0.7%

Your Cost: $40.29/claim|Median: $24.49
1.6× median
92606Normal range

$38K

764 claims · 0.2%

Your Cost: $49.85/claim|Median: $36.52
1.4× median
92609Normal range

$27K

403 claims · 0.2%

Your Cost: $68.16/claim|Median: $59.78
1.1× median
97166Normal range

OT evaluation, moderate complexity

$21K

405 claims · 0.1%

Your Cost: $51.11/claim|Median: $48.74
1.0× median
97161Normal range

Physical therapy evaluation, low complexity

$16K

297 claims · 0.1%

Your Cost: $55.53/claim|Median: $47.89
1.2× median
97165Normal range

OT evaluation, low complexity

$5K

73 claims · 0.0%

Your Cost: $63.82/claim|Median: $46.78
1.4× median
97162Normal range

PT evaluation, moderate complexity

$4K

59 claims · 0.0%

Your Cost: $63.69/claim|Median: $46.10
1.4× median
92605Normal range

$1K

25 claims · 0.0%

Your Cost: $41.77/claim|Median: $41.77
1.0× median
97163Normal range

PT evaluation, high complexity

$837

14 claims · 0.0%

Your Cost: $59.80/claim|Median: $50.34
1.2× median
← All providersHow we detect fraud →