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

Provider 1164474334

NPI: 1164474334Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$14.7M

$14,733,307

Total Claims

727K

Beneficiaries

231K

3.1 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$570K
+128%
2019
$1.3M
+3%
2020
$1.3M
+63%
2021
$2.2M
+23%
2022
$2.7M
+23%
2023
$3.3M
+4%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 45% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$6.7M

291K claims · 45.2%

Your Cost: $22.90/claim|Median: $24.49
0.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$3.7M

191K claims · 25.3%

Your Cost: $19.46/claim|Median: $20.04
1.0× median
97530Normal range

Therapeutic activities, each 15 min

$2.0M

108K claims · 13.7%

Your Cost: $18.65/claim|Median: $33.11
0.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$2.0M

129K claims · 13.4%

Your Cost: $15.32/claim|Median: $16.79
0.9× median
97161Normal range

Physical therapy evaluation, low complexity

$209K

4,199 claims · 1.4%

Your Cost: $49.80/claim|Median: $47.89
1.0× median
97113Normal range

$83K

2,061 claims · 0.6%

Your Cost: $40.18/claim|Median: $51.02
0.8× median
97164Normal range

PT re-evaluation

$42K

1,383 claims · 0.3%

Your Cost: $30.27/claim|Median: $32.66
0.9× median
97162Normal range

PT evaluation, moderate complexity

$28K

635 claims · 0.2%

Your Cost: $43.67/claim|Median: $46.10
0.9× median
97014Normal range

Electrical stimulation, unattended

$1K

100 claims · 0.0%

Your Cost: $10.32/claim|Median: $8.83
1.2× median