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Provider 1447305032

NPI: 1447305032Share
Active Billing Period:2018-01→2024-06(78 months)

Total Paid

$10.2M

$10,183,064

Total Claims

349K

Beneficiaries

260K

1.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$424K
+239%
2019
$1.4M
+83%
2020
$2.6M
+12%
2021
$2.9M
-11%
2022
$2.6M
-95%
2023
$124K
-82%
2024
$23K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 25% of total spending.

97530Top 25%

Therapeutic activities, each 15 min

$2.5M

42K claims · 24.8%

Your Cost: $60.27/claim|Median: $33.11
1.8× median
99214Top 25%

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

$1.9M

20K claims · 18.2%

Your Cost: $93.49/claim|Median: $53.41
1.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.7M

37K claims · 16.2%

Your Cost: $45.11/claim|Median: $24.49
1.8× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$778K

24K claims · 7.6%

Your Cost: $32.92/claim|Median: $20.04
1.6× median
J0585Top 1%

Injection, onabotulinumtoxinA, 1 unit

$582K

256 claims · 5.7%

Your Cost: $2,274.29/claim|Median: $470.36
4.8× median
99213Top 25%

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

$450K

6,602 claims · 4.4%

Your Cost: $68.19/claim|Median: $37.81
1.8× median
99204Top 10%

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

$358K

2,426 claims · 3.5%

Your Cost: $147.41/claim|Median: $84.03
1.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$159K

4,814 claims · 1.6%

Your Cost: $32.93/claim|Median: $16.79
2.0× median
99203Top 10%

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

$150K

1,509 claims · 1.5%

Your Cost: $99.24/claim|Median: $57.85
1.7× median
95004Normal range

Percutaneous allergy skin tests, each

$105K

1,031 claims · 1.0%

Your Cost: $101.71/claim|Median: $134.97
0.8× median
97161Normal range

Physical therapy evaluation, low complexity

$99K

1,981 claims · 1.0%

Your Cost: $49.73/claim|Median: $47.89
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$97K

876 claims · 1.0%

Your Cost: $110.61/claim|Median: $99.21
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$95K

1,016 claims · 0.9%

Your Cost: $93.62/claim|Median: $85.66
1.1× median
97162Normal range

PT evaluation, moderate complexity

$91K

1,820 claims · 0.9%

Your Cost: $50.24/claim|Median: $46.10
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$89K

1,279 claims · 0.9%

Your Cost: $69.33/claim|Median: $63.65
1.1× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$85K

1,420 claims · 0.8%

Your Cost: $59.87/claim|Median: $49.74
1.2× median
97535Top 25%

Self-care/home management training, per 15 minutes

$76K

2,288 claims · 0.8%

Your Cost: $33.40/claim|Median: $18.18
1.8× median
92587Normal range

$70K

3,298 claims · 0.7%

Your Cost: $21.37/claim|Median: $19.24
1.1× median
92579Top 25%

$64K

1,421 claims · 0.6%

Your Cost: $44.92/claim|Median: $30.58
1.5× median
97116Normal range

Gait training

$62K

2,612 claims · 0.6%

Your Cost: $23.74/claim|Median: $12.48
1.9× median
97542Top 25%

Wheelchair management training

$61K

927 claims · 0.6%

Your Cost: $65.57/claim|Median: $18.66
3.5× median
92567Top 25%

$58K

3,859 claims · 0.6%

Your Cost: $15.04/claim|Median: $11.50
1.3× median
97165Normal range

OT evaluation, low complexity

$58K

1,342 claims · 0.6%

Your Cost: $43.01/claim|Median: $46.78
0.9× median
93010Top 25%

Electrocardiogram, interpretation and report only

$46K

5,757 claims · 0.4%

Your Cost: $7.94/claim|Median: $5.60
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$41K

331 claims · 0.4%

Your Cost: $122.43/claim|Median: $74.09
1.7× median
64643Top 25%

$32K

296 claims · 0.3%

Your Cost: $109.43/claim|Median: $58.21
1.9× median
64642Normal range

$32K

305 claims · 0.3%

Your Cost: $105.98/claim|Median: $81.85
1.3× median
97760Top 25%

$27K

381 claims · 0.3%

Your Cost: $71.97/claim|Median: $30.29
2.4× median
97016Top 25%

$25K

966 claims · 0.2%

Your Cost: $26.14/claim|Median: $8.30
3.1× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$25K

4,687 claims · 0.2%

Your Cost: $5.30/claim|Median: $65.45
0.1× median
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