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PEDIATRIC ENTERPRISES OF TEXAS INC

Home Health·DALLAS, TX·NPI: 1144313636Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.0M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2020-092024-12(52 months)

Total Paid

$20.0M

$19,990,163

Total Claims

208K

Beneficiaries

36K

5.7 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2020
$550K
+466%
2021
$3.1M
+59%
2022
$4.9M
+23%
2023
$6.1M
-13%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 65% of total spending.

92507Top 10%

Speech/hearing/language treatment

$13.0M

136K claims · 65.1%

Your Cost: $95.47/claim|Median: $49.45
1.9× median
97530Top 10%

Therapeutic activities, each 15 min

$3.8M

42K claims · 19.2%

Your Cost: $91.86/claim|Median: $33.11
2.8× median
97110Top 5%

Therapeutic exercises, each 15 min

$1.9M

19K claims · 9.6%

Your Cost: $100.84/claim|Median: $24.49
4.1× median
92526Top 10%

Treatment of swallowing dysfunction and/or oral function

$481K

4,179 claims · 2.4%

Your Cost: $115.17/claim|Median: $49.74
2.3× median
S9152Normal range

Speech therapy, re-evaluation

$363K

3,424 claims · 1.8%

Your Cost: $106.09/claim|Median: $92.99
1.1× median
92523Normal range

Evaluation of speech sound production with language comprehension

$256K

1,899 claims · 1.3%

Your Cost: $134.97/claim|Median: $110.87
1.2× median
97168Normal range

OT re-evaluation

$82K

923 claims · 0.4%

Your Cost: $88.58/claim|Median: $50.43
1.8× median
97167Normal range

OT evaluation, high complexity

$32K

298 claims · 0.2%

Your Cost: $106.50/claim|Median: $70.96
1.5× median
97164Top 5%

PT re-evaluation

$16K

154 claims · 0.1%

Your Cost: $101.81/claim|Median: $32.66
3.1× median
97163Top 25%

PT evaluation, high complexity

$9K

87 claims · 0.0%

Your Cost: $103.32/claim|Median: $50.34
2.1× median