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T.E.A.M. 4 KIDS, LLC

Occupational Therapist, Pediatrics·SURPRISE, AZ·NPI: 1386988723Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$34.7M

$34,735,052

Total Claims

598K

Beneficiaries

219K

2.7 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+71%
2019
$2.1M
+52%
2020
$3.3M
+77%
2021
$5.8M
+25%
2022
$7.3M
+5%
2023
$7.6M
-3%
2024
$7.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 32% of total spending.

97530Top 25%

Therapeutic activities, each 15 min

$11.0M

142K claims · 31.7%

Your Cost: $77.45/claim|Median: $33.11
2.3× median
92507Normal range

Speech/hearing/language treatment

$7.5M

184K claims · 21.7%

Your Cost: $41.07/claim|Median: $49.45
0.8× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$5.2M

29K claims · 14.9%

Your Cost: $181.17/claim|Median: $167.38
1.1× median
97535Normal range

Self-care/home management training, per 15 minutes

$4.9M

164K claims · 14.1%

Your Cost: $29.71/claim|Median: $18.18
1.6× median
92523Normal range

Evaluation of speech sound production with language comprehension

$1.4M

12K claims · 4.1%

Your Cost: $124.40/claim|Median: $110.87
1.1× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$963K

14K claims · 2.8%

Your Cost: $66.59/claim|Median: $49.74
1.3× median
92521Top 25%

Evaluation of speech fluency

$954K

12K claims · 2.7%

Your Cost: $80.04/claim|Median: $31.97
2.5× median
92524Top 25%

Behavioral/qualitative analysis of voice

$764K

11K claims · 2.2%

Your Cost: $69.18/claim|Median: $29.36
2.4× median
92609Top 5%

$601K

3,399 claims · 1.7%

Your Cost: $176.85/claim|Median: $59.78
3.0× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$495K

5,290 claims · 1.4%

Your Cost: $93.59/claim|Median: $146.45
0.6× median
96112Normal range

Developmental test administration

$227K

4,647 claims · 0.7%

Your Cost: $48.90/claim|Median: $102.95
0.5× median
97168Normal range

OT re-evaluation

$206K

4,021 claims · 0.6%

Your Cost: $51.11/claim|Median: $50.43
1.0× median
97110Top 10%

Therapeutic exercises, each 15 min

$129K

1,901 claims · 0.4%

Your Cost: $67.71/claim|Median: $24.49
2.8× median
97164Top 25%

PT re-evaluation

$89K

1,846 claims · 0.3%

Your Cost: $48.41/claim|Median: $32.66
1.5× median
97151Top 25%

Behavior identification assessment

$62K

179 claims · 0.2%

Your Cost: $344.91/claim|Median: $161.10
2.1× median
97166Normal range

OT evaluation, moderate complexity

$58K

1,053 claims · 0.2%

Your Cost: $55.19/claim|Median: $48.74
1.1× median
92610Normal range

Evaluation of swallowing function

$52K

948 claims · 0.1%

Your Cost: $54.76/claim|Median: $45.22
1.2× median
97161Normal range

Physical therapy evaluation, low complexity

$38K

581 claims · 0.1%

Your Cost: $64.88/claim|Median: $47.89
1.4× median
97156Normal range

$19K

462 claims · 0.1%

Your Cost: $41.89/claim|Median: $88.65
0.5× median
97162Normal range

PT evaluation, moderate complexity

$10K

184 claims · 0.0%

Your Cost: $53.62/claim|Median: $46.10
1.2× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$9K

597 claims · 0.0%

Your Cost: $14.66/claim|Median: $12.12
1.2× median
97750Normal range

$2K

512 claims · 0.0%

Your Cost: $4.34/claim|Median: $30.89
0.1× median
97165Top 25%

OT evaluation, low complexity

$2K

26 claims · 0.0%

Your Cost: $70.55/claim|Median: $46.78
1.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$0

927 claims · 0.0%

Your Cost: $0.00/claim|Median: $121.58
99072Normal range

$0

3,812 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.54
92606Normal range

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.52

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