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Provider 1366446080

NPI: 1366446080Share
Active Billing Period:2018-01→2023-03(63 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$16.3M

$16,302,126

Total Claims

379K

Beneficiaries

22K

17.0 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+169%
2019
$3.6M
+63%
2020
$5.8M
-71%
2021
$1.7M
+85%
2022
$3.1M
-73%
2023
$839K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 38% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$6.2M

135K claims · 37.7%

Your Cost: $45.59/claim|Median: $33.11
1.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$4.9M

113K claims · 30.0%

Your Cost: $43.24/claim|Median: $24.49
1.8× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.4M

35K claims · 8.7%

Your Cost: $40.47/claim|Median: $20.04
2.0× median
97535Top 25%

Self-care/home management training, per 15 minutes

$1.4M

33K claims · 8.5%

Your Cost: $41.57/claim|Median: $18.18
2.3× median
97116Top 10%

Gait training

$1.3M

30K claims · 7.8%

Your Cost: $43.07/claim|Median: $12.48
3.5× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$408K

14K claims · 2.5%

Your Cost: $29.78/claim|Median: $49.74
0.6× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$272K

6,179 claims · 1.7%

Your Cost: $44.09/claim|Median: $16.79
2.6× median
92507Normal range

Speech/hearing/language treatment

$94K

1,967 claims · 0.6%

Your Cost: $47.75/claim|Median: $49.45
1.0× median
97542Normal range

Wheelchair management training

$72K

2,238 claims · 0.4%

Your Cost: $32.02/claim|Median: $18.66
1.7× median
97763Normal range

$65K

2,144 claims · 0.4%

Your Cost: $30.09/claim|Median: $34.99
0.9× median
97162Normal range

PT evaluation, moderate complexity

$47K

1,310 claims · 0.3%

Your Cost: $35.85/claim|Median: $46.10
0.8× median
G8978Top 25%

$36K

488 claims · 0.2%

Your Cost: $73.60/claim|Median: $5.17
14.2× median
G8979Top 25%

$34K

617 claims · 0.2%

Your Cost: $55.59/claim|Median: $3.96
14.0× median
G8988Top 25%

$26K

434 claims · 0.2%

Your Cost: $59.81/claim|Median: $8.81
6.8× median
97166Normal range

OT evaluation, moderate complexity

$25K

985 claims · 0.2%

Your Cost: $25.19/claim|Median: $48.74
0.5× median
G8987Top 25%

$21K

351 claims · 0.1%

Your Cost: $60.68/claim|Median: $12.37
4.9× median
G8981Top 25%

$21K

335 claims · 0.1%

Your Cost: $63.38/claim|Median: $13.79
4.6× median
G8982Top 25%

$20K

512 claims · 0.1%

Your Cost: $39.11/claim|Median: $6.66
5.9× median
92610Normal range

Evaluation of swallowing function

$8K

232 claims · 0.1%

Your Cost: $35.55/claim|Median: $45.22
0.8× median
92523Top 5%

Evaluation of speech sound production with language comprehension

$7K

24 claims · 0.0%

Your Cost: $287.99/claim|Median: $110.87
2.6× median
G8997Top 5%

$5K

59 claims · 0.0%

Your Cost: $79.69/claim|Median: $3.58
22.3× median
G8980Top 10%

$2K

35 claims · 0.0%

Your Cost: $53.88/claim|Median: $0.84
64.1× median
97024Normal range

$2K

474 claims · 0.0%

Your Cost: $3.66/claim|Median: $2.75
1.3× median
G8996Top 10%

$2K

20 claims · 0.0%

Your Cost: $82.86/claim|Median: $11.40
7.3× median
G8983Normal range

$462

34 claims · 0.0%

Your Cost: $13.58/claim|Median: $9.18
1.5× median
G0009Normal range

$0

61 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.11
G0008Normal range

$0

247 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
90732Normal range

Pneumococcal vaccine (PPSV23)

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.96
90688Normal range

$0

200 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
90670Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
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