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Provider 1376628305

NPI: 1376628305Share
Active Billing Period:2018-012024-06(78 months)

Total Paid

$14.5M

$14,499,609

Total Claims

1.9M

Beneficiaries

556K

3.4 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+30%
2019
$2.3M
-37%
2020
$1.4M
+56%
2021
$2.2M
+25%
2022
$2.8M
+1%
2023
$2.8M
-54%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (92508 (Treatment of speech/language disorder, group, 2+ patients)) accounts for 35% of total spending.

92508Normal range

Treatment of speech/language disorder, group, 2+ patients

$5.1M

1.4M claims · 35.0%

Your Cost: $3.73/claim|Median: $13.22
0.3× median
92507Normal range

Speech/hearing/language treatment

$4.2M

229K claims · 29.0%

Your Cost: $18.34/claim|Median: $49.45
0.4× median
97530Normal range

Therapeutic activities, each 15 min

$3.5M

184K claims · 24.1%

Your Cost: $18.98/claim|Median: $33.11
0.6× median
92523Normal range

Evaluation of speech sound production with language comprehension

$765K

28K claims · 5.3%

Your Cost: $27.48/claim|Median: $110.87
0.2× median
97110Normal range

Therapeutic exercises, each 15 min

$528K

28K claims · 3.6%

Your Cost: $19.08/claim|Median: $24.49
0.8× median
92522Normal range

Evaluation of speech sound production

$135K

5,174 claims · 0.9%

Your Cost: $26.12/claim|Median: $32.17
0.8× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$81K

22K claims · 0.6%

Your Cost: $3.75/claim|Median: $12.12
0.3× median
97167Normal range

OT evaluation, high complexity

$72K

2,580 claims · 0.5%

Your Cost: $27.88/claim|Median: $70.96
0.4× median
97166Normal range

OT evaluation, moderate complexity

$64K

2,303 claims · 0.4%

Your Cost: $27.64/claim|Median: $48.74
0.6× median
97165Normal range

OT evaluation, low complexity

$37K

1,367 claims · 0.3%

Your Cost: $26.84/claim|Median: $46.78
0.6× median
97163Normal range

PT evaluation, high complexity

$22K

762 claims · 0.1%

Your Cost: $28.22/claim|Median: $50.34
0.6× median
92521Normal range

Evaluation of speech fluency

$15K

602 claims · 0.1%

Your Cost: $25.36/claim|Median: $31.97
0.8× median
97162Normal range

PT evaluation, moderate complexity

$2K

98 claims · 0.0%

Your Cost: $24.84/claim|Median: $46.10
0.5× median