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Provider 1164851085

NPI: 1164851085Share
Active Billing Period:2018-02→2024-12(61 months)

Total Paid

$12.4M

$12,425,586

Total Claims

681K

Beneficiaries

249K

2.7 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$467
+2963%
2019
$14K
+4215%
2020
$617K
+415%
2021
$3.2M
-2%
2022
$3.1M
-7%
2023
$2.9M
-11%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (97112 (Therapeutic procedure, neuromuscular reeducation, per 15 minutes)) accounts for 53% of total spending.

97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$6.6M

230K claims · 53.4%

Your Cost: $28.84/claim|Median: $20.04
1.4× median
97140Normal range

Manual therapy techniques, per 15 minutes

$2.4M

167K claims · 19.5%

Your Cost: $14.50/claim|Median: $16.79
0.9× median
97530Normal range

Therapeutic activities, each 15 min

$1.1M

93K claims · 9.0%

Your Cost: $12.05/claim|Median: $33.11
0.4× median
97110Normal range

Therapeutic exercises, each 15 min

$856K

119K claims · 6.9%

Your Cost: $7.21/claim|Median: $24.49
0.3× median
97161Normal range

Physical therapy evaluation, low complexity

$379K

7,037 claims · 3.0%

Your Cost: $53.80/claim|Median: $47.89
1.1× median
97014Top 25%

Electrical stimulation, unattended

$319K

25K claims · 2.6%

Your Cost: $12.70/claim|Median: $8.83
1.4× median
97164Normal range

PT re-evaluation

$253K

7,735 claims · 2.0%

Your Cost: $32.66/claim|Median: $32.66
1.0× median
97016Normal range

$200K

21K claims · 1.6%

Your Cost: $9.62/claim|Median: $8.30
1.2× median
97113Normal range

$88K

3,939 claims · 0.7%

Your Cost: $22.29/claim|Median: $51.02
0.4× median
97162Normal range

PT evaluation, moderate complexity

$46K

919 claims · 0.4%

Your Cost: $50.05/claim|Median: $46.10
1.1× median
97168Normal range

OT re-evaluation

$46K

1,409 claims · 0.4%

Your Cost: $32.47/claim|Median: $50.43
0.6× median
97165Normal range

OT evaluation, low complexity

$25K

458 claims · 0.2%

Your Cost: $54.46/claim|Median: $46.78
1.2× median
97018Normal range

Paraffin bath therapy

$20K

2,824 claims · 0.2%

Your Cost: $6.93/claim|Median: $5.30
1.3× median
G0283Normal range

$6K

909 claims · 0.0%

Your Cost: $6.76/claim|Median: $3.52
1.9× median
97116Normal range

Gait training

$2K

500 claims · 0.0%

Your Cost: $4.49/claim|Median: $12.48
0.4× median
97022Normal range

$2K

173 claims · 0.0%

Your Cost: $11.86/claim|Median: $8.28
1.4× median
92507Normal range

Speech/hearing/language treatment

$2K

343 claims · 0.0%

Your Cost: $5.95/claim|Median: $49.45
0.1× median
97166Normal range

OT evaluation, moderate complexity

$1K

27 claims · 0.0%

Your Cost: $54.41/claim|Median: $48.74
1.1× median
97750Normal range

$199

14 claims · 0.0%

Your Cost: $14.19/claim|Median: $30.89
0.5× median
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