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Provider 1255484606

NPI: 1255484606Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$8.1M

$8,076,462

Total Claims

299K

Beneficiaries

117K

2.6 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-6%
2019
$1.6M
-46%
2020
$858K
+2%
2021
$879K
+29%
2022
$1.1M
+1%
2023
$1.1M
-29%
2024
$805K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (92508 (Treatment of speech/language disorder, group, 2+ patients)) accounts for 31% of total spending.

92508Normal range

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

$2.5M

177K claims · 30.8%

Your Cost: $14.02/claim|Median: $13.22
1.1× median
92507Normal range

Speech/hearing/language treatment

$1.7M

49K claims · 21.0%

Your Cost: $34.33/claim|Median: $49.45
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$1.2M

35K claims · 14.6%

Your Cost: $34.15/claim|Median: $24.49
1.4× median
96130Top 5%

Psychological testing evaluation by professional, first hour

$1.1M

3,787 claims · 14.0%

Your Cost: $299.62/claim|Median: $79.21
3.8× median
T1001Normal range

Nursing assessment/evaluation, per visit

$571K

7,247 claims · 7.1%

Your Cost: $78.85/claim|Median: $49.05
1.6× median
96101Top 25%

$359K

1,429 claims · 4.4%

Your Cost: $251.25/claim|Median: $196.08
1.3× median
92523Normal range

Evaluation of speech sound production with language comprehension

$224K

3,775 claims · 2.8%

Your Cost: $59.33/claim|Median: $110.87
0.5× median
97167Top 25%

OT evaluation, high complexity

$205K

1,525 claims · 2.5%

Your Cost: $134.14/claim|Median: $70.96
1.9× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$50K

3,927 claims · 0.6%

Your Cost: $12.81/claim|Median: $12.12
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$46K

5,138 claims · 0.6%

Your Cost: $8.90/claim|Median: $6.61
1.3× median
96152Normal range

Health behavior intervention, individual

$33K

882 claims · 0.4%

Your Cost: $36.90/claim|Median: $20.02
1.8× median
T2003Normal range

Non-emergency transport; encounter/trip

$31K

1,759 claims · 0.4%

Your Cost: $17.78/claim|Median: $21.70
0.8× median
99173Normal range

$21K

5,161 claims · 0.3%

Your Cost: $4.11/claim|Median: $2.16
1.9× median
97003Top 25%

$9K

78 claims · 0.1%

Your Cost: $118.55/claim|Median: $98.97
1.2× median
97163Top 10%

PT evaluation, high complexity

$7K

54 claims · 0.1%

Your Cost: $128.58/claim|Median: $50.34
2.6× median
T1003Normal range

LPN/LVN services, per 15 minutes

$6K

673 claims · 0.1%

Your Cost: $8.86/claim|Median: $24.24
0.4× median
A0425Normal range

Ground mileage, per statute mile

$6K

1,759 claims · 0.1%

Your Cost: $3.32/claim|Median: $23.36
0.1× median
92521Normal range

Evaluation of speech fluency

$5K

115 claims · 0.1%

Your Cost: $40.30/claim|Median: $31.97
1.3× median
96158Top 25%

$3K

59 claims · 0.0%

Your Cost: $48.69/claim|Median: $28.43
1.7× median
92524Normal range

Behavioral/qualitative analysis of voice

$2K

62 claims · 0.0%

Your Cost: $34.52/claim|Median: $29.36
1.2× median
T1017Normal range

Targeted case management, per 15 min

$1K

84 claims · 0.0%

Your Cost: $16.96/claim|Median: $69.56
0.2× median
T1002Normal range

RN services, per 15 minutes

$1K

75 claims · 0.0%

Your Cost: $16.30/claim|Median: $37.42
0.4× median
T1004Normal range

Services of a qualified nursing aide, per 15 minutes

$830

90 claims · 0.0%

Your Cost: $9.22/claim|Median: $50.30
0.2× median
96156Normal range

$751

12 claims · 0.0%

Your Cost: $62.61/claim|Median: $22.36
2.8× median
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