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Provider 1437292216

NPI: 1437292216Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$11.8M

$11,832,822

Total Claims

130K

Beneficiaries

82K

1.6 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-7%
2019
$2.0M
-26%
2020
$1.5M
+15%
2021
$1.7M
+1%
2022
$1.7M
-11%
2023
$1.5M
-24%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 57% of total spending.

T2022Normal range

Case management, per month

$6.8M

47K claims · 57.4%

Your Cost: $145.30/claim|Median: $202.77
0.7× median
T1023Top 25%

Screening to determine appropriateness of consideration for program

$2.5M

9,466 claims · 21.1%

Your Cost: $264.12/claim|Median: $106.70
2.5× median
92508Top 10%

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

$922K

36K claims · 7.8%

Your Cost: $25.78/claim|Median: $13.22
2.0× median
92507Normal range

Speech/hearing/language treatment

$699K

12K claims · 5.9%

Your Cost: $58.77/claim|Median: $49.45
1.2× median
T2003Normal range

Non-emergency transport; encounter/trip

$359K

16K claims · 3.0%

Your Cost: $22.77/claim|Median: $21.70
1.0× median
97530Normal range

Therapeutic activities, each 15 min

$202K

3,727 claims · 1.7%

Your Cost: $54.29/claim|Median: $33.11
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$146K

3,228 claims · 1.2%

Your Cost: $45.17/claim|Median: $41.28
1.1× median
W9323Normal range

$119K

869 claims · 1.0%

Your Cost: $136.88/claim|Median: $143.20
1.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$85K

1,623 claims · 0.7%

Your Cost: $52.37/claim|Median: $24.49
2.1× median
90853Normal range

Group psychotherapy

$14K

503 claims · 0.1%

Your Cost: $26.97/claim|Median: $25.02
1.1× median
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