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FULL POTENTIAL

Clinic/Center, Primary Care·LITTLE ROCK, AR·NPI: 1427379387Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$55.4M

$55,384,620

Total Claims

896K

Beneficiaries

125K

7.2 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$8.9M
+9%
2019
$9.7M
-44%
2020
$5.4M
+35%
2021
$7.3M
+2%
2022
$7.4M
+10%
2023
$8.1M
+5%
2024
$8.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 52% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$28.9M

436K claims · 52.1%

Your Cost: $66.17/claim|Median: $121.16
0.5× median
97530Top 25%

Therapeutic activities, each 15 min

$10.4M

167K claims · 18.8%

Your Cost: $62.42/claim|Median: $33.11
1.9× median
92507Top 25%

Speech/hearing/language treatment

$9.7M

133K claims · 17.5%

Your Cost: $72.68/claim|Median: $49.45
1.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$4.0M

63K claims · 7.3%

Your Cost: $64.54/claim|Median: $24.49
2.6× median
97535Normal range

Self-care/home management training, per 15 minutes

$1.0M

38K claims · 1.8%

Your Cost: $26.55/claim|Median: $18.18
1.5× median
97532Normal range

$846K

37K claims · 1.5%

Your Cost: $23.00/claim|Median: $28.76
0.8× median
96112Normal range

Developmental test administration

$207K

2,134 claims · 0.4%

Your Cost: $96.81/claim|Median: $102.95
0.9× median
99367Normal range

$84K

9,653 claims · 0.2%

Your Cost: $8.67/claim|Median: $35.65
0.2× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$78K

870 claims · 0.1%

Your Cost: $89.97/claim|Median: $106.70
0.8× median
97001Top 25%

$53K

634 claims · 0.1%

Your Cost: $83.13/claim|Median: $50.40
1.6× median
G0515Normal range

$35K

6,221 claims · 0.1%

Your Cost: $5.63/claim|Median: $23.57
0.2× median
96101Normal range

$27K

585 claims · 0.0%

Your Cost: $46.08/claim|Median: $196.08
0.2× median
96111Normal range

$22K

739 claims · 0.0%

Your Cost: $30.25/claim|Median: $86.72
0.3× median
97162Top 25%

PT evaluation, moderate complexity

$16K

230 claims · 0.0%

Your Cost: $67.71/claim|Median: $46.10
1.5× median
92587Top 10%

$10K

174 claims · 0.0%

Your Cost: $59.12/claim|Median: $19.24
3.1× median
97161Normal range

Physical therapy evaluation, low complexity

$10K

208 claims · 0.0%

Your Cost: $46.35/claim|Median: $47.89
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$9K

569 claims · 0.0%

Your Cost: $16.27/claim|Median: $37.81
0.4× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$9K

148 claims · 0.0%

Your Cost: $57.45/claim|Median: $57.85
1.0× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$7K

257 claims · 0.0%

Your Cost: $25.79/claim|Median: $27.38
0.9× median
97164Top 25%

PT re-evaluation

$5K

102 claims · 0.0%

Your Cost: $47.99/claim|Median: $32.66
1.5× median
T1027Normal range

Family training and counseling, per 15 minutes

$2K

249 claims · 0.0%

Your Cost: $6.84/claim|Median: $53.00
0.1× median

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