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Provider 1467506691

NPI: 1467506691Share
Active Billing Period:2018-04→2024-11(74 months)

Total Paid

$9.4M

$9,372,009

Total Claims

352K

Beneficiaries

115K

3.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$70K
+1927%
2019
$1.4M
-17%
2020
$1.2M
+25%
2021
$1.5M
+9%
2022
$1.6M
-5%
2023
$1.5M
+40%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (97533) accounts for 21% of total spending.

97533Normal range

$1.9M

60K claims · 20.8%

Your Cost: $32.38/claim|Median: $48.71
0.7× median
92507Normal range

Speech/hearing/language treatment

$1.2M

25K claims · 12.7%

Your Cost: $47.02/claim|Median: $49.45
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$1.0M

52K claims · 10.8%

Your Cost: $19.42/claim|Median: $24.49
0.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$963K

34K claims · 10.3%

Your Cost: $27.95/claim|Median: $16.79
1.7× median
99490Top 25%

Chronic care management services, 20 minutes per month

$826K

40K claims · 8.8%

Your Cost: $20.55/claim|Median: $6.31
3.3× median
97129Normal range

$682K

33K claims · 7.3%

Your Cost: $20.56/claim|Median: $17.39
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$539K

17K claims · 5.8%

Your Cost: $31.14/claim|Median: $33.11
0.9× median
97763Normal range

$372K

18K claims · 4.0%

Your Cost: $21.07/claim|Median: $34.99
0.6× median
97165Normal range

OT evaluation, low complexity

$370K

16K claims · 3.9%

Your Cost: $23.24/claim|Median: $46.78
0.5× median
92609Normal range

$222K

4,962 claims · 2.4%

Your Cost: $44.79/claim|Median: $59.78
0.7× median
97162Normal range

PT evaluation, moderate complexity

$204K

9,277 claims · 2.2%

Your Cost: $21.95/claim|Median: $46.10
0.5× median
97799Normal range

$183K

8,982 claims · 1.9%

Your Cost: $20.33/claim|Median: $16.72
1.2× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$168K

14K claims · 1.8%

Your Cost: $12.34/claim|Median: $20.04
0.6× median
97535Top 25%

Self-care/home management training, per 15 minutes

$156K

4,733 claims · 1.7%

Your Cost: $33.00/claim|Median: $18.18
1.8× median
97130Normal range

$143K

7,284 claims · 1.5%

Your Cost: $19.57/claim|Median: $21.60
0.9× median
92523Normal range

Evaluation of speech sound production with language comprehension

$112K

1,007 claims · 1.2%

Your Cost: $110.92/claim|Median: $110.87
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$96K

1,149 claims · 1.0%

Your Cost: $83.90/claim|Median: $121.58
0.7× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$51K

889 claims · 0.5%

Your Cost: $57.92/claim|Median: $49.74
1.2× median
97750Normal range

$46K

1,385 claims · 0.5%

Your Cost: $33.55/claim|Median: $30.89
1.1× median
97166Normal range

OT evaluation, moderate complexity

$23K

734 claims · 0.2%

Your Cost: $30.80/claim|Median: $48.74
0.6× median
99366Normal range

$20K

622 claims · 0.2%

Your Cost: $31.89/claim|Median: $37.02
0.9× median
97168Normal range

OT re-evaluation

$16K

220 claims · 0.2%

Your Cost: $73.54/claim|Median: $50.43
1.5× median
97139Normal range

$15K

1,082 claims · 0.2%

Your Cost: $13.98/claim|Median: $28.71
0.5× median
97164Top 25%

PT re-evaluation

$9K

118 claims · 0.1%

Your Cost: $73.32/claim|Median: $32.66
2.2× median
92522Normal range

Evaluation of speech sound production

$7K

104 claims · 0.1%

Your Cost: $65.39/claim|Median: $32.17
2.0× median
92521Top 5%

Evaluation of speech fluency

$6K

45 claims · 0.1%

Your Cost: $133.80/claim|Median: $31.97
4.2× median
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