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METRO CHILDREN SERVICES, INC.

Early Intervention Provider Agency·FRESH MEADOWS, NY·NPI: 1396068300Share

Compared to Early Intervention Provider Agency Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.6M is at the 25th percentile among 14 Early Intervention Provider Agency providers.

Active Billing Period:2018-10→2024-12(71 months)

Total Paid

$25.6M

$25,571,814

Total Claims

334K

Beneficiaries

62K

5.4 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$3K
+94359%
2019
$3.3M
+45%
2020
$4.7M
+5%
2021
$4.9M
-8%
2022
$4.6M
-0%
2023
$4.5M
-22%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 18% of total spending.

97110Top 10%

Therapeutic exercises, each 15 min

$4.6M

59K claims · 17.9%

Your Cost: $78.04/claim|Median: $24.49
3.2× median
92507Top 25%

Speech/hearing/language treatment

$4.3M

56K claims · 17.0%

Your Cost: $78.14/claim|Median: $49.45
1.6× median
H2027Normal range

Psychoeducational service, per 15 minutes

$3.0M

28K claims · 11.7%

Your Cost: $105.52/claim|Median: $82.72
1.3× median
T1017Normal range

Targeted case management, per 15 min

$2.7M

57K claims · 10.4%

Your Cost: $46.28/claim|Median: $69.56
0.7× median
97530Top 25%

Therapeutic activities, each 15 min

$2.6M

34K claims · 10.3%

Your Cost: $77.93/claim|Median: $33.11
2.4× median
H2014Normal range

Skills training & development, per 15 min

$2.1M

27K claims · 8.2%

Your Cost: $77.60/claim|Median: $83.88
0.9× median
96112Top 10%

Developmental test administration

$1.9M

5,547 claims · 7.3%

Your Cost: $337.25/claim|Median: $102.95
3.3× median
97116Top 5%

Gait training

$1.2M

15K claims · 4.6%

Your Cost: $78.80/claim|Median: $12.48
6.3× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$1.2M

28K claims · 4.6%

Your Cost: $42.60/claim|Median: $27.28
1.6× median
92526Top 25%

Treatment of swallowing dysfunction and/or oral function

$772K

10K claims · 3.0%

Your Cost: $74.78/claim|Median: $49.74
1.5× median
97533Top 25%

$467K

6,001 claims · 1.8%

Your Cost: $77.80/claim|Median: $48.71
1.6× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$465K

5,931 claims · 1.8%

Your Cost: $78.48/claim|Median: $20.04
3.9× median
97165Top 5%

OT evaluation, low complexity

$187K

1,207 claims · 0.7%

Your Cost: $155.12/claim|Median: $46.78
3.3× median
96154Top 10%

$51K

497 claims · 0.2%

Your Cost: $101.95/claim|Median: $36.72
2.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$46K

604 claims · 0.2%

Your Cost: $76.30/claim|Median: $84.12
0.9× median
97163Top 5%

PT evaluation, high complexity

$26K

147 claims · 0.1%

Your Cost: $178.07/claim|Median: $50.34
3.5× median
97127Normal range

$6K

72 claims · 0.0%

Your Cost: $79.00/claim|Median: $66.78
1.2× median
97535Top 10%

Self-care/home management training, per 15 minutes

$2K

22 claims · 0.0%

Your Cost: $79.00/claim|Median: $18.18
4.3× median

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