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Provider 1306244736

NPI: 1306244736Share
Active Billing Period:2018-03→2024-12(80 months)

Total Paid

$14.0M

$14,041,749

Total Claims

92K

Beneficiaries

12K

7.4 claims/patient

Avg Cost/Claim

$152

Monthly Spending Trend

Yearly Spending

2018
$342K
+414%
2019
$1.8M
-24%
2020
$1.3M
+67%
2021
$2.2M
+14%
2022
$2.6M
+18%
2023
$3.0M
-8%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 63% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$8.9M

51K claims · 63.5%

Your Cost: $175.33/claim|Median: $167.38
1.0× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$2.2M

14K claims · 15.6%

Your Cost: $156.62/claim|Median: $146.45
1.1× median
97533Top 5%

$1.4M

9,630 claims · 9.9%

Your Cost: $144.01/claim|Median: $48.71
3.0× median
92507Top 10%

Speech/hearing/language treatment

$872K

9,937 claims · 6.2%

Your Cost: $87.79/claim|Median: $49.45
1.8× median
97530Top 25%

Therapeutic activities, each 15 min

$254K

3,110 claims · 1.8%

Your Cost: $81.52/claim|Median: $33.11
2.5× median
H0032Normal range

Mental health service plan development

$217K

2,281 claims · 1.5%

Your Cost: $94.99/claim|Median: $80.64
1.2× median
97156Normal range

$170K

2,346 claims · 1.2%

Your Cost: $72.64/claim|Median: $88.65
0.8× median
97151Top 5%

Behavior identification assessment

$29K

54 claims · 0.2%

Your Cost: $545.78/claim|Median: $161.10
3.4× median
92524Top 10%

Behavioral/qualitative analysis of voice

$7K

76 claims · 0.0%

Your Cost: $88.00/claim|Median: $29.36
3.0× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$2K

12 claims · 0.0%

Your Cost: $200.00/claim|Median: $110.87
1.8× median
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