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Provider 1205860764

NPI: 1205860764Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.2M

$18,196,365

Total Claims

190K

Beneficiaries

80K

2.4 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-2%
2019
$2.9M
-6%
2020
$2.8M
+23%
2021
$3.4M
-16%
2022
$2.9M
-24%
2023
$2.2M
-56%
2024
$955K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 20% of total spending.

97530Top 25%

Therapeutic activities, each 15 min

$3.7M

46K claims · 20.3%

Your Cost: $80.88/claim|Median: $33.11
2.4× median
G0153Normal range

Services of SLP in home health, per 15 min

$3.5M

26K claims · 19.1%

Your Cost: $134.34/claim|Median: $101.43
1.3× median
92507Normal range

Speech/hearing/language treatment

$3.0M

53K claims · 16.7%

Your Cost: $57.68/claim|Median: $49.45
1.2× median
G0152Top 25%

Occupational therapy services, home health, per visit

$3.0M

22K claims · 16.4%

Your Cost: $133.44/claim|Median: $68.93
1.9× median
G0151Top 25%

Physical therapy services, home health, per visit

$1.9M

15K claims · 10.3%

Your Cost: $124.03/claim|Median: $67.94
1.8× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$1.1M

5,600 claims · 6.3%

Your Cost: $203.65/claim|Median: $106.70
1.9× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.0M

14K claims · 5.7%

Your Cost: $73.52/claim|Median: $24.49
3.0× median
T2022Normal range

Case management, per month

$578K

4,486 claims · 3.2%

Your Cost: $128.85/claim|Median: $202.77
0.6× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$231K

2,354 claims · 1.3%

Your Cost: $98.13/claim|Median: $119.08
0.8× median
92523Normal range

Evaluation of speech sound production with language comprehension

$75K

705 claims · 0.4%

Your Cost: $106.11/claim|Median: $110.87
1.0× median
97167Normal range

OT evaluation, high complexity

$42K

658 claims · 0.2%

Your Cost: $63.64/claim|Median: $70.96
0.9× median
T1027Top 25%

Family training and counseling, per 15 minutes

$16K

180 claims · 0.1%

Your Cost: $87.53/claim|Median: $53.00
1.7× median
97163Normal range

PT evaluation, high complexity

$3K

55 claims · 0.0%

Your Cost: $62.87/claim|Median: $50.34
1.2× median