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Provider 1346739562

NPI: 1346739562Share
Active Billing Period:2018-09→2024-12(76 months)

Total Paid

$15.2M

$15,174,526

Total Claims

179K

Beneficiaries

37K

4.9 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$59K
+851%
2019
$564K
+162%
2020
$1.5M
+103%
2021
$3.0M
+12%
2022
$3.4M
+12%
2023
$3.8M
-21%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 79% of total spending.

97530Top 10%

Therapeutic activities, each 15 min

$12.0M

126K claims · 79.1%

Your Cost: $95.51/claim|Median: $33.11
2.9× median
92507Normal range

Speech/hearing/language treatment

$1.4M

25K claims · 9.1%

Your Cost: $55.04/claim|Median: $49.45
1.1× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$1.1M

18K claims · 6.9%

Your Cost: $58.61/claim|Median: $49.74
1.2× median
92609Normal range

$495K

6,725 claims · 3.3%

Your Cost: $73.55/claim|Median: $59.78
1.2× median
92606Top 25%

$165K

2,903 claims · 1.1%

Your Cost: $56.80/claim|Median: $36.52
1.6× median
92523Normal range

Evaluation of speech sound production with language comprehension

$49K

370 claims · 0.3%

Your Cost: $131.34/claim|Median: $110.87
1.2× median
97167Normal range

OT evaluation, high complexity

$17K

307 claims · 0.1%

Your Cost: $54.45/claim|Median: $70.96
0.8× median
92610Normal range

Evaluation of swallowing function

$8K

136 claims · 0.1%

Your Cost: $62.01/claim|Median: $45.22
1.4× median
97163Normal range

PT evaluation, high complexity

$8K

133 claims · 0.0%

Your Cost: $56.81/claim|Median: $50.34
1.1× median
97164Normal range

PT re-evaluation

$5K

121 claims · 0.0%

Your Cost: $40.87/claim|Median: $32.66
1.3× median
97161Normal range

Physical therapy evaluation, low complexity

$1K

22 claims · 0.0%

Your Cost: $58.10/claim|Median: $47.89
1.2× median
97166Normal range

OT evaluation, moderate complexity

$991

21 claims · 0.0%

Your Cost: $47.17/claim|Median: $48.74
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.49
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