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Provider 1417485889

NPI: 1417485889Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.9M

$11,853,093

Total Claims

744K

Beneficiaries

354K

2.1 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$351K
+170%
2019
$946K
-7%
2020
$884K
+20%
2021
$1.1M
+61%
2022
$1.7M
+57%
2023
$2.7M
+56%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 33% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$3.9M

174K claims · 32.6%

Your Cost: $22.22/claim|Median: $24.49
0.9× median
97140Normal range

Manual therapy techniques, per 15 minutes

$2.2M

116K claims · 18.9%

Your Cost: $19.40/claim|Median: $16.79
1.2× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.2M

107K claims · 10.5%

Your Cost: $11.72/claim|Median: $20.04
0.6× median
97530Normal range

Therapeutic activities, each 15 min

$1.2M

109K claims · 9.7%

Your Cost: $10.54/claim|Median: $33.11
0.3× median
97032Normal range

Electrical stimulation, manual

$610K

67K claims · 5.1%

Your Cost: $9.15/claim|Median: $9.42
1.0× median
97116Normal range

Gait training

$563K

50K claims · 4.7%

Your Cost: $11.36/claim|Median: $12.48
0.9× median
E0730Top 10%

$276K

1,257 claims · 2.3%

Your Cost: $219.67/claim|Median: $52.06
4.2× median
97750Normal range

$273K

7,215 claims · 2.3%

Your Cost: $37.88/claim|Median: $30.89
1.2× median
97163Normal range

PT evaluation, high complexity

$243K

3,453 claims · 2.1%

Your Cost: $70.49/claim|Median: $50.34
1.4× median
97026Normal range

$233K

34K claims · 2.0%

Your Cost: $6.78/claim|Median: $4.04
1.7× median
A4595Normal range

$203K

8,807 claims · 1.7%

Your Cost: $23.00/claim|Median: $17.27
1.3× median
92507Normal range

Speech/hearing/language treatment

$199K

4,711 claims · 1.7%

Your Cost: $42.35/claim|Median: $49.45
0.9× median
97012Normal range

Mechanical traction therapy

$126K

15K claims · 1.1%

Your Cost: $8.50/claim|Median: $8.34
1.0× median
97129Normal range

$80K

3,149 claims · 0.7%

Your Cost: $25.37/claim|Median: $17.39
1.5× median
99490Top 25%

Chronic care management services, 20 minutes per month

$77K

2,958 claims · 0.6%

Your Cost: $26.00/claim|Median: $6.31
4.1× median
97164Normal range

PT re-evaluation

$76K

2,039 claims · 0.6%

Your Cost: $37.45/claim|Median: $32.66
1.1× median
97161Normal range

Physical therapy evaluation, low complexity

$75K

2,073 claims · 0.6%

Your Cost: $36.11/claim|Median: $47.89
0.8× median
97533Normal range

$65K

2,070 claims · 0.5%

Your Cost: $31.49/claim|Median: $48.71
0.6× median
92523Normal range

Evaluation of speech sound production with language comprehension

$59K

570 claims · 0.5%

Your Cost: $103.50/claim|Median: $110.87
0.9× median
97014Normal range

Electrical stimulation, unattended

$40K

8,070 claims · 0.3%

Your Cost: $4.94/claim|Median: $8.83
0.6× median
97018Normal range

Paraffin bath therapy

$32K

3,212 claims · 0.3%

Your Cost: $9.84/claim|Median: $5.30
1.9× median
97799Normal range

$22K

562 claims · 0.2%

Your Cost: $38.59/claim|Median: $16.72
2.3× median
92609Normal range

$20K

293 claims · 0.2%

Your Cost: $68.49/claim|Median: $59.78
1.1× median
G0283Normal range

$19K

20K claims · 0.2%

Your Cost: $0.94/claim|Median: $3.52
0.3× median
97001Normal range

$11K

241 claims · 0.1%

Your Cost: $45.89/claim|Median: $50.40
0.9× median
97162Normal range

PT evaluation, moderate complexity

$11K

402 claims · 0.1%

Your Cost: $27.35/claim|Median: $46.10
0.6× median
99366Normal range

$8K

320 claims · 0.1%

Your Cost: $26.32/claim|Median: $37.02
0.7× median
97010Normal range

Hot/cold packs application

$6K

768 claims · 0.0%

Your Cost: $7.71/claim|Median: $4.47
1.7× median
97002Normal range

$5K

122 claims · 0.0%

Your Cost: $44.28/claim|Median: $54.45
0.8× median
97035Normal range

Ultrasound therapy

$3K

511 claims · 0.0%

Your Cost: $6.11/claim|Median: $7.31
0.8× median