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Provider 1275576589

NPI: 1275576589Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.8M

$16,840,378

Total Claims

583K

Beneficiaries

225K

2.6 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+16%
2019
$2.4M
-13%
2020
$2.1M
+59%
2021
$3.3M
-27%
2022
$2.4M
-3%
2023
$2.3M
-2%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 34% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$5.6M

187K claims · 33.5%

Your Cost: $30.17/claim|Median: $24.49
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$4.2M

130K claims · 25.0%

Your Cost: $32.43/claim|Median: $33.11
1.0× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$3.8M

120K claims · 22.6%

Your Cost: $31.80/claim|Median: $20.04
1.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1.9M

113K claims · 11.3%

Your Cost: $16.72/claim|Median: $16.79
1.0× median
97161Normal range

Physical therapy evaluation, low complexity

$482K

9,453 claims · 2.9%

Your Cost: $50.97/claim|Median: $47.89
1.1× median
97113Normal range

$420K

6,082 claims · 2.5%

Your Cost: $69.13/claim|Median: $51.02
1.4× median
97535Normal range

Self-care/home management training, per 15 minutes

$334K

17K claims · 2.0%

Your Cost: $19.92/claim|Median: $18.18
1.1× median
97162Normal range

PT evaluation, moderate complexity

$43K

935 claims · 0.3%

Your Cost: $45.83/claim|Median: $46.10
1.0× median
97165Normal range

OT evaluation, low complexity

$3K

59 claims · 0.0%

Your Cost: $47.08/claim|Median: $46.78
1.0× median
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