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Provider 1255335857

NPI: 1255335857Share
Active Billing Period:2018-01→2023-03(63 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$9.4M

$9,429,161

Total Claims

199K

Beneficiaries

10K

19.6 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-9%
2019
$1.8M
+76%
2020
$3.1M
-52%
2021
$1.5M
-45%
2022
$822K
-66%
2023
$280K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 37% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$3.5M

72K claims · 37.1%

Your Cost: $48.67/claim|Median: $33.11
1.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.9M

59K claims · 31.1%

Your Cost: $50.00/claim|Median: $24.49
2.0× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.0M

19K claims · 10.8%

Your Cost: $54.62/claim|Median: $20.04
2.7× median
97535Top 25%

Self-care/home management training, per 15 minutes

$1.0M

22K claims · 10.8%

Your Cost: $45.57/claim|Median: $18.18
2.5× median
97116Top 10%

Gait training

$410K

8,555 claims · 4.3%

Your Cost: $47.94/claim|Median: $12.48
3.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$232K

8,694 claims · 2.5%

Your Cost: $26.73/claim|Median: $16.79
1.6× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$147K

6,658 claims · 1.6%

Your Cost: $22.06/claim|Median: $49.74
0.4× median
G8988Top 10%

$44K

379 claims · 0.5%

Your Cost: $115.83/claim|Median: $8.81
13.1× median
G8987Top 5%

$41K

279 claims · 0.4%

Your Cost: $146.64/claim|Median: $12.37
11.9× median
G8978Top 5%

$26K

120 claims · 0.3%

Your Cost: $212.64/claim|Median: $5.17
41.1× median
G8979Top 1%

$24K

133 claims · 0.2%

Your Cost: $177.05/claim|Median: $3.96
44.7× median
92507Normal range

Speech/hearing/language treatment

$20K

1,076 claims · 0.2%

Your Cost: $18.20/claim|Median: $49.45
0.4× median
97166Normal range

OT evaluation, moderate complexity

$9K

362 claims · 0.1%

Your Cost: $25.75/claim|Median: $48.74
0.5× median
97162Normal range

PT evaluation, moderate complexity

$8K

282 claims · 0.1%

Your Cost: $27.50/claim|Median: $46.10
0.6× median
G8997Top 25%

$972

23 claims · 0.0%

Your Cost: $42.27/claim|Median: $3.58
11.8× median
G8981Normal range

$822

25 claims · 0.0%

Your Cost: $32.86/claim|Median: $13.79
2.4× median
97763Normal range

$608

364 claims · 0.0%

Your Cost: $1.67/claim|Median: $34.99
0.0× median
G8982Normal range

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.66
90662Normal range

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
90688Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
G0008Normal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
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