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Provider 1316163884

NPI: 1316163884Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.1M

$15,090,088

Total Claims

108K

Beneficiaries

31K

3.4 claims/patient

Avg Cost/Claim

$140

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-26%
2019
$1.5M
-6%
2020
$1.4M
+45%
2021
$2.0M
+18%
2022
$2.4M
+34%
2023
$3.2M
-19%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 51% of total spending.

92507Top 5%

Speech/hearing/language treatment

$7.7M

64K claims · 50.9%

Your Cost: $119.57/claim|Median: $49.45
2.4× median
97535Top 5%

Self-care/home management training, per 15 minutes

$3.5M

29K claims · 23.0%

Your Cost: $120.73/claim|Median: $18.18
6.6× median
92607Top 10%

$1.5M

3,068 claims · 10.0%

Your Cost: $493.06/claim|Median: $89.89
5.5× median
97530Top 1%

Therapeutic activities, each 15 min

$946K

6,671 claims · 6.3%

Your Cost: $141.87/claim|Median: $33.11
4.3× median
92609Top 5%

$921K

2,584 claims · 6.1%

Your Cost: $356.61/claim|Median: $59.78
6.0× median
92608Top 1%

$547K

2,480 claims · 3.6%

Your Cost: $220.38/claim|Median: $54.08
4.1× median
S9129Top 25%

OT, in the home, per diem

$3K

34 claims · 0.0%

Your Cost: $102.08/claim|Median: $76.61
1.3× median
S9128Normal range

Speech therapy, in the home, per diem

$3K

25 claims · 0.0%

Your Cost: $104.56/claim|Median: $72.77
1.4× median
97168Top 5%

OT re-evaluation

$2K

12 claims · 0.0%

Your Cost: $181.70/claim|Median: $50.43
3.6× median