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ABC PEDIATRIC THERAPY LLC

Physical Therapist·WEST CHESTER, OH·NPI: 1134152861Share

Compared to Physical Therapist Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.2M is at the 99th percentile among 20 Physical Therapist providers.

Above 99th percentile for this specialty — higher spending than 19 of 20 peers

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

Total Paid

$30.2M

$30,249,083

Total Claims

604K

Beneficiaries

242K

2.5 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$3.4M
+13%
2019
$3.9M
-11%
2020
$3.4M
+29%
2021
$4.4M
+2%
2022
$4.5M
+18%
2023
$5.3M
-1%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (97535 (Self-care/home management training, per 15 minutes)) accounts for 37% of total spending.

97535Top 25%

Self-care/home management training, per 15 minutes

$11.0M

171K claims · 36.5%

Your Cost: $64.70/claim|Median: $18.18
3.6× median
92507Normal range

Speech/hearing/language treatment

$9.5M

246K claims · 31.5%

Your Cost: $38.77/claim|Median: $49.45
0.8× median
97530Normal range

Therapeutic activities, each 15 min

$3.9M

76K claims · 12.8%

Your Cost: $50.94/claim|Median: $33.11
1.5× median
92523Normal range

Evaluation of speech sound production with language comprehension

$2.8M

28K claims · 9.4%

Your Cost: $102.86/claim|Median: $110.87
0.9× median
97168Normal range

OT re-evaluation

$580K

23K claims · 1.9%

Your Cost: $24.70/claim|Median: $50.43
0.5× median
92609Normal range

$470K

14K claims · 1.6%

Your Cost: $33.52/claim|Median: $59.78
0.6× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$457K

2,715 claims · 1.5%

Your Cost: $168.42/claim|Median: $167.38
1.0× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$435K

13K claims · 1.4%

Your Cost: $34.00/claim|Median: $49.74
0.7× median
97164Normal range

PT re-evaluation

$369K

10K claims · 1.2%

Your Cost: $36.66/claim|Median: $32.66
1.1× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$122K

3,348 claims · 0.4%

Your Cost: $36.49/claim|Median: $20.04
1.8× median
97165Normal range

OT evaluation, low complexity

$112K

2,049 claims · 0.4%

Your Cost: $54.53/claim|Median: $46.78
1.2× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$85K

943 claims · 0.3%

Your Cost: $90.36/claim|Median: $146.45
0.6× median
97166Normal range

OT evaluation, moderate complexity

$69K

1,293 claims · 0.2%

Your Cost: $53.33/claim|Median: $48.74
1.1× median
92606Normal range

$65K

3,842 claims · 0.2%

Your Cost: $16.89/claim|Median: $36.52
0.5× median
97161Normal range

Physical therapy evaluation, low complexity

$58K

1,033 claims · 0.2%

Your Cost: $55.98/claim|Median: $47.89
1.2× median
97127Normal range

$41K

2,338 claims · 0.1%

Your Cost: $17.35/claim|Median: $66.78
0.3× median
92610Normal range

Evaluation of swallowing function

$27K

560 claims · 0.1%

Your Cost: $48.04/claim|Median: $45.22
1.1× median
97162Normal range

PT evaluation, moderate complexity

$22K

416 claims · 0.1%

Your Cost: $52.08/claim|Median: $46.10
1.1× median
92522Normal range

Evaluation of speech sound production

$12K

250 claims · 0.0%

Your Cost: $48.03/claim|Median: $32.17
1.5× median
97533Normal range

$11K

579 claims · 0.0%

Your Cost: $19.80/claim|Median: $48.71
0.4× median
97760Normal range

$11K

271 claims · 0.0%

Your Cost: $41.73/claim|Median: $30.29
1.4× median
97113Normal range

$8K

140 claims · 0.0%

Your Cost: $54.51/claim|Median: $51.02
1.1× median
97763Normal range

$6K

160 claims · 0.0%

Your Cost: $38.64/claim|Median: $34.99
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$1K

55 claims · 0.0%

Your Cost: $20.90/claim|Median: $24.49
0.9× median
97167Normal range

OT evaluation, high complexity

$1K

18 claims · 0.0%

Your Cost: $57.90/claim|Median: $70.96
0.8× median
S9152Normal range

Speech therapy, re-evaluation

$129

3,343 claims · 0.0%

Your Cost: $0.04/claim|Median: $92.99
0.0× median

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