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Provider 1194977363

NPI: 1194977363Share
Active Billing Period:2019-04→2024-12(69 months)

Total Paid

$10.5M

$10,500,187

Total Claims

196K

Beneficiaries

44K

4.5 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2019
$907K
+11%
2020
$1.0M
+36%
2021
$1.4M
+53%
2022
$2.1M
+26%
2023
$2.6M
-7%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 23% of total spending.

92507Normal range

Speech/hearing/language treatment

$2.4M

37K claims · 23.2%

Your Cost: $66.45/claim|Median: $49.45
1.3× median
T1017Normal range

Targeted case management, per 15 min

$2.4M

67K claims · 22.6%

Your Cost: $35.45/claim|Median: $69.56
0.5× median
97530Top 25%

Therapeutic activities, each 15 min

$1.4M

23K claims · 13.5%

Your Cost: $61.72/claim|Median: $33.11
1.9× median
96112Top 5%

Developmental test administration

$858K

2,389 claims · 8.2%

Your Cost: $359.08/claim|Median: $102.95
3.5× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$809K

24K claims · 7.7%

Your Cost: $33.69/claim|Median: $27.28
1.2× median
97129Top 25%

$771K

12K claims · 7.3%

Your Cost: $65.86/claim|Median: $17.39
3.8× median
97150Top 10%

Therapeutic procedure, group (2+ patients)

$737K

13K claims · 7.0%

Your Cost: $55.73/claim|Median: $12.12
4.6× median
97533Normal range

$449K

7,515 claims · 4.3%

Your Cost: $59.80/claim|Median: $48.71
1.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$351K

6,090 claims · 3.3%

Your Cost: $57.71/claim|Median: $24.49
2.4× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$152K

1,999 claims · 1.4%

Your Cost: $76.01/claim|Median: $20.04
3.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$44K

664 claims · 0.4%

Your Cost: $66.02/claim|Median: $84.12
0.8× median
T1016Normal range

Case management, each 15 min

$43K

1,218 claims · 0.4%

Your Cost: $35.45/claim|Median: $49.62
0.7× median
97127Normal range

$29K

440 claims · 0.3%

Your Cost: $65.42/claim|Median: $66.78
1.0× median
97165Top 5%

OT evaluation, low complexity

$16K

97 claims · 0.2%

Your Cost: $162.96/claim|Median: $46.78
3.5× median
T1027Top 25%

Family training and counseling, per 15 minutes

$15K

172 claims · 0.1%

Your Cost: $84.68/claim|Median: $53.00
1.6× median
97161Top 5%

Physical therapy evaluation, low complexity

$4K

26 claims · 0.0%

Your Cost: $167.66/claim|Median: $47.89
3.5× median
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