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M. WINTER & ASSOCIATES PEDIATRIC THERAPY CENTERS, LTD

Clinic/Center, Rehabilitation·HOUSTON, TX·NPI: 1205874773Share
Active Billing Period:2020-04→2024-12(57 months)

Total Paid

$32.1M

$32,133,027

Total Claims

347K

Beneficiaries

77K

4.5 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2020
$2.2M
+227%
2021
$7.2M
+6%
2022
$7.6M
+4%
2023
$7.9M
-9%
2024
$7.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 58% of total spending.

92507Top 10%

Speech/hearing/language treatment

$18.7M

214K claims · 58.1%

Your Cost: $87.15/claim|Median: $49.45
1.8× median
97530Top 10%

Therapeutic activities, each 15 min

$7.8M

79K claims · 24.4%

Your Cost: $99.65/claim|Median: $33.11
3.0× median
97110Top 5%

Therapeutic exercises, each 15 min

$4.6M

45K claims · 14.3%

Your Cost: $102.23/claim|Median: $24.49
4.2× median
S9152Normal range

Speech therapy, re-evaluation

$465K

4,633 claims · 1.4%

Your Cost: $100.38/claim|Median: $92.99
1.1× median
92523Normal range

Evaluation of speech sound production with language comprehension

$380K

2,642 claims · 1.2%

Your Cost: $143.74/claim|Median: $110.87
1.3× median
97168Normal range

OT re-evaluation

$110K

1,279 claims · 0.3%

Your Cost: $85.64/claim|Median: $50.43
1.7× median
97164Top 10%

PT re-evaluation

$45K

548 claims · 0.1%

Your Cost: $82.76/claim|Median: $32.66
2.5× median
97166Top 25%

OT evaluation, moderate complexity

$12K

120 claims · 0.0%

Your Cost: $97.79/claim|Median: $48.74
2.0× median
92526Top 10%

Treatment of swallowing dysfunction and/or oral function

$9K

79 claims · 0.0%

Your Cost: $111.76/claim|Median: $49.74
2.2× median
97161Top 25%

Physical therapy evaluation, low complexity

$5K

49 claims · 0.0%

Your Cost: $95.80/claim|Median: $47.89
2.0× median
97165Top 25%

OT evaluation, low complexity

$3K

26 claims · 0.0%

Your Cost: $104.57/claim|Median: $46.78
2.2× median
97167Normal range

OT evaluation, high complexity

$2K

19 claims · 0.0%

Your Cost: $88.06/claim|Median: $70.96
1.2× median

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