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LOS NINOS SERVICES

Case Management·NEW YORK, NY·NPI: 1225287758Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.2M is at the below 25th percentile among 137 Case Management providers.

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

Total Paid

$20.2M

$20,189,547

Total Claims

399K

Beneficiaries

63K

6.3 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2019
$1.6M
+88%
2020
$3.0M
+35%
2021
$4.0M
+2%
2022
$4.1M
-0%
2023
$4.1M
-17%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2027 (Psychoeducational service, per 15 minutes)) accounts for 23% of total spending.

H2027Normal range

Psychoeducational service, per 15 minutes

$4.6M

64K claims · 22.7%

Your Cost: $71.65/claim|Median: $82.72
0.9× median
T1017Normal range

Targeted case management, per 15 min

$3.7M

133K claims · 18.2%

Your Cost: $27.65/claim|Median: $69.56
0.4× median
92507Normal range

Speech/hearing/language treatment

$3.2M

49K claims · 16.0%

Your Cost: $65.34/claim|Median: $49.45
1.3× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$2.4M

30K claims · 12.0%

Your Cost: $80.32/claim|Median: $146.45
0.5× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$1.7M

63K claims · 8.3%

Your Cost: $26.77/claim|Median: $27.28
1.0× median
97530Top 25%

Therapeutic activities, each 15 min

$836K

14K claims · 4.1%

Your Cost: $61.39/claim|Median: $33.11
1.9× median
H2037Normal range

$777K

9,785 claims · 3.9%

Your Cost: $79.44/claim|Median: $83.80
0.9× median
96112Top 10%

Developmental test administration

$746K

2,295 claims · 3.7%

Your Cost: $324.94/claim|Median: $102.95
3.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$715K

11K claims · 3.5%

Your Cost: $65.06/claim|Median: $24.49
2.7× median
97533Normal range

$589K

9,895 claims · 2.9%

Your Cost: $59.49/claim|Median: $48.71
1.2× median
97116Top 5%

Gait training

$292K

4,517 claims · 1.4%

Your Cost: $64.73/claim|Median: $12.48
5.2× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$227K

3,427 claims · 1.1%

Your Cost: $66.16/claim|Median: $20.04
3.3× median
97127Normal range

$171K

2,558 claims · 0.8%

Your Cost: $66.87/claim|Median: $66.78
1.0× median
97158Normal range

$138K

1,166 claims · 0.7%

Your Cost: $118.69/claim|Median: $56.17
2.1× median
G0515Top 25%

$45K

527 claims · 0.2%

Your Cost: $85.70/claim|Median: $23.57
3.6× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$32K

452 claims · 0.2%

Your Cost: $71.78/claim|Median: $84.12
0.9× median
97535Top 25%

Self-care/home management training, per 15 minutes

$10K

164 claims · 0.1%

Your Cost: $63.29/claim|Median: $18.18
3.5× median
97166Top 5%

OT evaluation, moderate complexity

$7K

42 claims · 0.0%

Your Cost: $154.93/claim|Median: $48.74
3.2× median
97167Top 25%

OT evaluation, high complexity

$3K

23 claims · 0.0%

Your Cost: $136.88/claim|Median: $70.96
1.9× median

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Other top providers in Case Management

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$1.35B

Commonwealth of Massachusets

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$1.14B

Commonwealth of Mass-dds

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$1.10B

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$1.04B

Stavros Center for Independent Living Inc.

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$1.04B

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