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Provider 1174522114

NPI: 1174522114Share
Active Billing Period:2019-09→2024-11(56 months)

Total Paid

$14.5M

$14,461,641

Total Claims

109K

Beneficiaries

39K

2.8 claims/patient

Avg Cost/Claim

$133

Monthly Spending Trend

Yearly Spending

2019
$768
+303706%
2020
$2.3M
+155%
2021
$5.9M
-88%
2022
$692K
+221%
2023
$2.2M
+47%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 46% of total spending.

97110Top 1%

Therapeutic exercises, each 15 min

$6.7M

22K claims · 46.3%

Your Cost: $309.90/claim|Median: $24.49
12.7× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$2.9M

45K claims · 19.9%

Your Cost: $63.91/claim|Median: $121.16
0.5× median
97530Top 1%

Therapeutic activities, each 15 min

$1.1M

4,738 claims · 7.4%

Your Cost: $226.42/claim|Median: $33.11
6.8× median
92507Top 1%

Speech/hearing/language treatment

$649K

4,064 claims · 4.5%

Your Cost: $159.65/claim|Median: $49.45
3.2× median
97140Top 1%

Manual therapy techniques, per 15 minutes

$614K

4,461 claims · 4.2%

Your Cost: $137.71/claim|Median: $16.79
8.2× median
97161Top 5%

Physical therapy evaluation, low complexity

$503K

2,117 claims · 3.5%

Your Cost: $237.67/claim|Median: $47.89
5.0× median
97162Top 5%

PT evaluation, moderate complexity

$502K

2,305 claims · 3.5%

Your Cost: $217.61/claim|Median: $46.10
4.7× median
97112Top 1%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$441K

2,589 claims · 3.0%

Your Cost: $170.26/claim|Median: $20.04
8.5× median
97010Top 10%

Hot/cold packs application

$209K

11K claims · 1.4%

Your Cost: $18.62/claim|Median: $4.47
4.2× median
97166Top 5%

OT evaluation, moderate complexity

$164K

781 claims · 1.1%

Your Cost: $210.13/claim|Median: $48.74
4.3× median
97163Top 5%

PT evaluation, high complexity

$128K

817 claims · 0.9%

Your Cost: $156.14/claim|Median: $50.34
3.1× median
64642Top 25%

$122K

601 claims · 0.8%

Your Cost: $202.72/claim|Median: $81.85
2.5× median
97535Top 1%

Self-care/home management training, per 15 minutes

$89K

445 claims · 0.6%

Your Cost: $199.52/claim|Median: $18.18
11.0× median
97165Top 5%

OT evaluation, low complexity

$74K

377 claims · 0.5%

Your Cost: $196.84/claim|Median: $46.78
4.2× median
93798Normal range

Cardiac rehabilitation with continuous ECG monitoring, per session

$57K

2,179 claims · 0.4%

Your Cost: $25.99/claim|Median: $44.45
0.6× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$53K

766 claims · 0.4%

Your Cost: $69.54/claim|Median: $53.41
1.3× median
92523Normal range

Evaluation of speech sound production with language comprehension

$41K

289 claims · 0.3%

Your Cost: $141.22/claim|Median: $110.87
1.3× median
97167Top 10%

OT evaluation, high complexity

$30K

187 claims · 0.2%

Your Cost: $159.89/claim|Median: $70.96
2.3× median
97116Top 10%

Gait training

$28K

650 claims · 0.2%

Your Cost: $42.90/claim|Median: $12.48
3.4× median
W0104Normal range

$26K

1,377 claims · 0.2%

Your Cost: $19.12/claim|Median: $59.42
0.3× median
64643Normal range

$24K

313 claims · 0.2%

Your Cost: $77.87/claim|Median: $58.21
1.3× median
97760Top 1%

$14K

70 claims · 0.1%

Your Cost: $202.28/claim|Median: $30.29
6.7× median
95874Normal range

$13K

544 claims · 0.1%

Your Cost: $23.98/claim|Median: $11.29
2.1× median
Q3014Normal range

Telehealth originating site facility fee

$11K

800 claims · 0.1%

Your Cost: $14.25/claim|Median: $15.37
0.9× median
95886Normal range

$7K

175 claims · 0.1%

Your Cost: $42.32/claim|Median: $67.70
0.6× median
97763Normal range

$6K

196 claims · 0.0%

Your Cost: $30.58/claim|Median: $34.99
0.9× median
97035Top 1%

Ultrasound therapy

$4K

27 claims · 0.0%

Your Cost: $139.91/claim|Median: $7.31
19.1× median
A4570Top 25%

$2K

138 claims · 0.0%

Your Cost: $15.74/claim|Median: $6.68
2.4× median
93797Normal range

$536

30 claims · 0.0%

Your Cost: $17.85/claim|Median: $33.41
0.5× median
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