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Provider 1215993704

NPI: 1215993704Share
Active Billing Period:2018-012024-04(64 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$11.9M

$11,853,926

Total Claims

244K

Beneficiaries

105K

2.3 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$4.7M
+5%
2019
$4.9M
-55%
2020
$2.2M
-100%
2021
$8K
+58%
2022
$13K
-9%
2023
$12K
-73%
2024
$3K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 36% of total spending.

92507Normal range

Speech/hearing/language treatment

$4.3M

106K claims · 36.2%

Your Cost: $40.63/claim|Median: $49.45
0.8× median
92508Top 5%

Treatment of speech/language disorder, group, 2+ patients

$1.5M

41K claims · 12.7%

Your Cost: $36.58/claim|Median: $13.22
2.8× median
97530Normal range

Therapeutic activities, each 15 min

$1.5M

26K claims · 12.7%

Your Cost: $58.21/claim|Median: $33.11
1.8× median
92557Top 5%

Comprehensive audiometry, air, bone, and speech testing

$864K

9,788 claims · 7.3%

Your Cost: $88.29/claim|Median: $27.28
3.2× median
V5298Normal range

$685K

581 claims · 5.8%

Your Cost: $1,178.85/claim|Median: $1,373.37
0.9× median
92587Top 10%

$526K

8,706 claims · 4.4%

Your Cost: $60.44/claim|Median: $19.24
3.1× median
92567Top 5%

$471K

10K claims · 4.0%

Your Cost: $45.58/claim|Median: $11.50
4.0× median
92523Normal range

Evaluation of speech sound production with language comprehension

$339K

3,730 claims · 2.9%

Your Cost: $91.01/claim|Median: $110.87
0.8× median
92522Top 25%

Evaluation of speech sound production

$337K

3,742 claims · 2.8%

Your Cost: $90.06/claim|Median: $32.17
2.8× median
Z5910Normal range

$120K

4,131 claims · 1.0%

Your Cost: $29.14/claim|Median: $38.24
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$114K

1,436 claims · 1.0%

Your Cost: $79.45/claim|Median: $121.58
0.7× median
X4530Normal range

$91K

3,063 claims · 0.8%

Your Cost: $29.61/claim|Median: $31.45
0.9× median
S0302Top 25%

$81K

2,200 claims · 0.7%

Your Cost: $36.62/claim|Median: $9.05
4.0× median
92588Top 25%

Vestibular evoked myogenic potential testing, each side

$80K

1,127 claims · 0.7%

Your Cost: $70.65/claim|Median: $31.08
2.3× median
Z5916Normal range

$79K

2,453 claims · 0.7%

Your Cost: $32.20/claim|Median: $33.21
1.0× median
92585Top 25%

$69K

318 claims · 0.6%

Your Cost: $215.89/claim|Median: $77.69
2.8× median
97533Normal range

$67K

1,357 claims · 0.6%

Your Cost: $49.41/claim|Median: $48.71
1.0× median
92521Top 10%

Evaluation of speech fluency

$67K

729 claims · 0.6%

Your Cost: $91.37/claim|Median: $31.97
2.9× median
V5267Top 25%

$66K

764 claims · 0.6%

Your Cost: $86.86/claim|Median: $28.85
3.0× median
Z5934Normal range

$52K

1,238 claims · 0.4%

Your Cost: $42.11/claim|Median: $43.71
1.0× median
92570Top 5%

$52K

1,111 claims · 0.4%

Your Cost: $46.43/claim|Median: $19.67
2.4× median
V5264Normal range

$49K

914 claims · 0.4%

Your Cost: $53.34/claim|Median: $49.58
1.1× median
Z5822Normal range

$45K

3,728 claims · 0.4%

Your Cost: $12.03/claim|Median: $40.83
0.3× median
V5014Normal range

$33K

717 claims · 0.3%

Your Cost: $46.23/claim|Median: $42.29
1.1× median
X4304Normal range

$32K

1,587 claims · 0.3%

Your Cost: $20.34/claim|Median: $32.30
0.6× median
Z5918Normal range

$32K

2,364 claims · 0.3%

Your Cost: $13.52/claim|Median: $13.97
1.0× median
97165Top 10%

OT evaluation, low complexity

$30K

248 claims · 0.2%

Your Cost: $119.26/claim|Median: $46.78
2.5× median
V5010Top 25%

$28K

461 claims · 0.2%

Your Cost: $60.72/claim|Median: $50.38
1.2× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$25K

887 claims · 0.2%

Your Cost: $28.65/claim|Median: $20.04
1.4× median
Z5908Normal range

$24K

740 claims · 0.2%

Your Cost: $32.64/claim|Median: $38.37
0.9× median