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Provider 1285638924

NPI: 1285638924Share
Active Billing Period:2018-01→2023-02(62 months)
Billing appears to have stoppedLast active: 2023-02

Total Paid

$14.4M

$14,414,105

Total Claims

242K

Beneficiaries

12K

20.5 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+172%
2019
$5.0M
+34%
2020
$6.7M
-95%
2021
$309K
+85%
2022
$571K
-83%
2023
$97K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 31% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$4.4M

74K claims · 30.6%

Your Cost: $59.74/claim|Median: $33.11
1.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$4.2M

69K claims · 29.0%

Your Cost: $60.73/claim|Median: $24.49
2.5× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$2.0M

33K claims · 13.6%

Your Cost: $58.94/claim|Median: $20.04
2.9× median
97535Top 25%

Self-care/home management training, per 15 minutes

$1.9M

31K claims · 12.9%

Your Cost: $60.67/claim|Median: $18.18
3.3× median
97116Top 10%

Gait training

$1.3M

25K claims · 9.2%

Your Cost: $53.62/claim|Median: $12.48
4.3× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$422K

7,256 claims · 2.9%

Your Cost: $58.18/claim|Median: $16.79
3.5× median
92526Top 5%

Treatment of swallowing dysfunction and/or oral function

$50K

382 claims · 0.4%

Your Cost: $132.13/claim|Median: $49.74
2.7× median
G8988Top 10%

$47K

598 claims · 0.3%

Your Cost: $79.04/claim|Median: $8.81
9.0× median
G8979Top 5%

$45K

471 claims · 0.3%

Your Cost: $94.71/claim|Median: $3.96
23.9× median
G8987Top 25%

$42K

494 claims · 0.3%

Your Cost: $84.17/claim|Median: $12.37
6.8× median
G8978Top 10%

$34K

339 claims · 0.2%

Your Cost: $98.86/claim|Median: $5.17
19.1× median
97166Normal range

OT evaluation, moderate complexity

$20K

432 claims · 0.1%

Your Cost: $47.36/claim|Median: $48.74
1.0× median
97162Top 25%

PT evaluation, moderate complexity

$11K

146 claims · 0.1%

Your Cost: $77.38/claim|Median: $46.10
1.7× median
97542Normal range

Wheelchair management training

$8K

320 claims · 0.1%

Your Cost: $24.72/claim|Median: $18.66
1.3× median
G8981Normal range

$3K

116 claims · 0.0%

Your Cost: $27.14/claim|Median: $13.79
2.0× median
G8982Normal range

$837

197 claims · 0.0%

Your Cost: $4.25/claim|Median: $6.66
0.6× median
90662Normal range

$0

71 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
G0008Normal range

$0

93 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
90688Normal range

$0

20 claims · 0.0%

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