Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1427180835

NPI: 1427180835Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.4M

$8,430,054

Total Claims

381K

Beneficiaries

135K

2.8 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-31%
2019
$1.1M
-38%
2020
$675K
+50%
2021
$1.0M
+21%
2022
$1.2M
+44%
2023
$1.8M
-38%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (92508 (Treatment of speech/language disorder, group, 2+ patients)) accounts for 44% of total spending.

92508Normal range

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

$3.7M

273K claims · 44.1%

Your Cost: $13.61/claim|Median: $13.22
1.0× median
96130Top 10%

Psychological testing evaluation by professional, first hour

$1.3M

4,355 claims · 15.2%

Your Cost: $294.75/claim|Median: $79.21
3.7× median
92507Normal range

Speech/hearing/language treatment

$616K

17K claims · 7.3%

Your Cost: $36.44/claim|Median: $49.45
0.7× median
T1001Normal range

Nursing assessment/evaluation, per visit

$583K

7,518 claims · 6.9%

Your Cost: $77.60/claim|Median: $49.05
1.6× median
T2003Normal range

Non-emergency transport; encounter/trip

$505K

25K claims · 6.0%

Your Cost: $20.16/claim|Median: $21.70
0.9× median
92523Normal range

Evaluation of speech sound production with language comprehension

$415K

9,269 claims · 4.9%

Your Cost: $44.78/claim|Median: $110.87
0.4× median
96101Normal range

$346K

1,442 claims · 4.1%

Your Cost: $240.29/claim|Median: $196.08
1.2× median
A0425Normal range

Ground mileage, per statute mile

$201K

25K claims · 2.4%

Your Cost: $8.14/claim|Median: $23.36
0.3× median
97167Normal range

OT evaluation, high complexity

$174K

1,501 claims · 2.1%

Your Cost: $115.78/claim|Median: $70.96
1.6× median
97168Top 25%

OT re-evaluation

$152K

1,537 claims · 1.8%

Your Cost: $98.67/claim|Median: $50.43
2.0× median
96158Top 25%

$145K

2,947 claims · 1.7%

Your Cost: $49.32/claim|Median: $28.43
1.7× median
92521Normal range

Evaluation of speech fluency

$113K

4,081 claims · 1.3%

Your Cost: $27.69/claim|Median: $31.97
0.9× median
92524Normal range

Behavioral/qualitative analysis of voice

$63K

2,286 claims · 0.7%

Your Cost: $27.55/claim|Median: $29.36
0.9× median
92522Normal range

Evaluation of speech sound production

$40K

2,144 claims · 0.5%

Your Cost: $18.60/claim|Median: $32.17
0.6× median
T1003Normal range

LPN/LVN services, per 15 minutes

$36K

3,421 claims · 0.4%

Your Cost: $10.42/claim|Median: $24.24
0.4× median
97003Normal range

$20K

193 claims · 0.2%

Your Cost: $101.05/claim|Median: $98.97
1.0× median
T1002Normal range

RN services, per 15 minutes

$15K

639 claims · 0.2%

Your Cost: $23.26/claim|Median: $37.42
0.6× median
97004Normal range

$1K

12 claims · 0.0%

Your Cost: $84.65/claim|Median: $84.65
1.0× median
96164Normal range

$843

77 claims · 0.0%

Your Cost: $10.95/claim|Median: $9.87
1.1× median
96110Top 10%

Developmental screening, per standardized instrument

$417

16 claims · 0.0%

Your Cost: $26.06/claim|Median: $9.10
2.9× median
96159Normal range

$294

21 claims · 0.0%

Your Cost: $13.99/claim|Median: $20.68
0.7× median
92551Normal range

Screening audiometry, pure tone, air only

$114

13 claims · 0.0%

Your Cost: $8.75/claim|Median: $6.61
1.3× median
← All providersHow we detect fraud →