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Provider 1205875093

NPI: 1205875093Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,853,578

Total Claims

1.1M

Beneficiaries

278K

4.1 claims/patient

Avg Cost/Claim

$11

Monthly Spending Trend

Yearly Spending

2018
$102K
+650%
2019
$763K
+212%
2020
$2.4M
+33%
2021
$3.2M
-6%
2022
$3.0M
-19%
2023
$2.4M
-57%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97112 (Therapeutic procedure, neuromuscular reeducation, per 15 minutes)) accounts for 27% of total spending.

97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$3.4M

223K claims · 26.6%

Your Cost: $15.39/claim|Median: $20.04
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$3.4M

310K claims · 26.3%

Your Cost: $10.90/claim|Median: $24.49
0.4× median
97530Normal range

Therapeutic activities, each 15 min

$2.4M

188K claims · 19.0%

Your Cost: $13.01/claim|Median: $33.11
0.4× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1.8M

180K claims · 13.9%

Your Cost: $9.96/claim|Median: $16.79
0.6× median
97161Normal range

Physical therapy evaluation, low complexity

$388K

14K claims · 3.0%

Your Cost: $27.92/claim|Median: $47.89
0.6× median
97014Normal range

Electrical stimulation, unattended

$326K

61K claims · 2.5%

Your Cost: $5.31/claim|Median: $8.83
0.6× median
97010Normal range

Hot/cold packs application

$322K

97K claims · 2.5%

Your Cost: $3.31/claim|Median: $4.47
0.7× median
97113Normal range

$311K

11K claims · 2.4%

Your Cost: $28.65/claim|Median: $51.02
0.6× median
97162Normal range

PT evaluation, moderate complexity

$240K

8,119 claims · 1.9%

Your Cost: $29.60/claim|Median: $46.10
0.6× median
97164Normal range

PT re-evaluation

$127K

6,125 claims · 1.0%

Your Cost: $20.73/claim|Median: $32.66
0.6× median
97016Normal range

$27K

12K claims · 0.2%

Your Cost: $2.24/claim|Median: $8.30
0.3× median
97165Normal range

OT evaluation, low complexity

$13K

484 claims · 0.1%

Your Cost: $26.77/claim|Median: $46.78
0.6× median
G0283Normal range

$12K

12K claims · 0.1%

Your Cost: $0.96/claim|Median: $3.52
0.3× median
97116Normal range

Gait training

$10K

2,331 claims · 0.1%

Your Cost: $4.38/claim|Median: $12.48
0.4× median
97012Normal range

Mechanical traction therapy

$10K

3,412 claims · 0.1%

Your Cost: $2.93/claim|Median: $8.34
0.4× median
97035Normal range

Ultrasound therapy

$10K

3,234 claims · 0.1%

Your Cost: $3.04/claim|Median: $7.31
0.4× median
97163Normal range

PT evaluation, high complexity

$7K

228 claims · 0.1%

Your Cost: $31.77/claim|Median: $50.34
0.6× median
97022Normal range

$5K

1,297 claims · 0.0%

Your Cost: $4.11/claim|Median: $8.28
0.5× median
97535Normal range

Self-care/home management training, per 15 minutes

$3K

278 claims · 0.0%

Your Cost: $10.84/claim|Median: $18.18
0.6× median
20560Normal range

$323

92 claims · 0.0%

Your Cost: $3.51/claim|Median: $12.63
0.3× median
97018Normal range

Paraffin bath therapy

$96

38 claims · 0.0%

Your Cost: $2.53/claim|Median: $5.30
0.5× median
1101FNormal range

$0

185 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
G8978Normal range

$0

278 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.17
G8730Normal range

$0

454 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
G8984Normal range

$0

75 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.30
G8427Normal range

$0

446 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G8979Normal range

$0

313 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.96
G8539Normal range

$0

443 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G8421Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
97799Normal range

$0

325 claims · 0.0%

Your Cost: $0.00/claim|Median: $16.72
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