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Provider 1316279847

NPI: 1316279847Share
Active Billing Period:2018-01→2020-12(36 months)
Billing appears to have stoppedLast active: 2020-12

Total Paid

$15.8M

$15,844,442

Total Claims

145K

Beneficiaries

61K

2.4 claims/patient

Avg Cost/Claim

$109

Monthly Spending Trend

Yearly Spending

2018
$5.3M
+5%
2019
$5.6M
-11%
2020
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 29% of total spending.

92507Top 5%

Speech/hearing/language treatment

$4.7M

36K claims · 29.4%

Your Cost: $129.41/claim|Median: $49.45
2.6× median
97110Top 5%

Therapeutic exercises, each 15 min

$4.4M

47K claims · 27.6%

Your Cost: $92.26/claim|Median: $24.49
3.8× median
97530Top 10%

Therapeutic activities, each 15 min

$1.5M

16K claims · 9.4%

Your Cost: $94.45/claim|Median: $33.11
2.9× median
97113Top 25%

$1.2M

15K claims · 7.8%

Your Cost: $81.35/claim|Median: $51.02
1.6× median
99215Top 10%

Office/outpatient visit, high complexity

$1.1M

6,623 claims · 6.7%

Your Cost: $160.87/claim|Median: $74.09
2.2× median
99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$737K

4,600 claims · 4.7%

Your Cost: $160.31/claim|Median: $37.81
4.2× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$642K

3,995 claims · 4.1%

Your Cost: $160.69/claim|Median: $53.41
3.0× median
97112Top 1%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$560K

5,879 claims · 3.5%

Your Cost: $95.33/claim|Median: $20.04
4.8× median
97116Top 5%

Gait training

$401K

4,478 claims · 2.5%

Your Cost: $89.45/claim|Median: $12.48
7.2× median
92526Top 5%

Treatment of swallowing dysfunction and/or oral function

$254K

1,915 claims · 1.6%

Your Cost: $132.82/claim|Median: $49.74
2.7× median
97163Top 5%

PT evaluation, high complexity

$133K

772 claims · 0.8%

Your Cost: $172.33/claim|Median: $50.34
3.4× median
97535Top 10%

Self-care/home management training, per 15 minutes

$95K

1,039 claims · 0.6%

Your Cost: $91.13/claim|Median: $18.18
5.0× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$87K

533 claims · 0.6%

Your Cost: $164.10/claim|Median: $111.09
1.5× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$62K

397 claims · 0.4%

Your Cost: $157.12/claim|Median: $84.03
1.9× median
97167Top 10%

OT evaluation, high complexity

$21K

141 claims · 0.1%

Your Cost: $151.50/claim|Median: $70.96
2.1× median
97140Top 1%

Manual therapy techniques, per 15 minutes

$13K

132 claims · 0.1%

Your Cost: $95.81/claim|Median: $16.79
5.7× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$4K

22 claims · 0.0%

Your Cost: $170.91/claim|Median: $110.87
1.5× median
92550Top 5%

$2K

32 claims · 0.0%

Your Cost: $73.52/claim|Median: $14.15
5.2× median
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