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Provider 1477534089

NPI: 1477534089Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.4M

$12,380,816

Total Claims

279K

Beneficiaries

103K

2.7 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+9%
2019
$1.8M
-35%
2020
$1.1M
+54%
2021
$1.8M
+10%
2022
$2.0M
+11%
2023
$2.2M
-10%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96132) accounts for 18% of total spending.

96132Top 1%

$2.3M

4,433 claims · 18.3%

Your Cost: $509.83/claim|Median: $70.53
7.2× median
92507Normal range

Speech/hearing/language treatment

$2.0M

32K claims · 16.4%

Your Cost: $62.69/claim|Median: $49.45
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$1.7M

43K claims · 13.5%

Your Cost: $38.44/claim|Median: $24.49
1.6× median
97530Normal range

Therapeutic activities, each 15 min

$1.5M

43K claims · 12.4%

Your Cost: $35.40/claim|Median: $33.11
1.1× median
97113Normal range

$559K

13K claims · 4.5%

Your Cost: $41.80/claim|Median: $51.02
0.8× median
99214Normal range

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

$505K

8,917 claims · 4.1%

Your Cost: $56.60/claim|Median: $53.41
1.1× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$504K

2,703 claims · 4.1%

Your Cost: $186.43/claim|Median: $148.53
1.3× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$378K

14K claims · 3.1%

Your Cost: $27.07/claim|Median: $20.04
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$370K

12K claims · 3.0%

Your Cost: $30.79/claim|Median: $26.41
1.2× median
96118Top 10%

$292K

420 claims · 2.4%

Your Cost: $695.01/claim|Median: $196.66
3.5× median
99213Top 10%

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

$278K

3,353 claims · 2.2%

Your Cost: $82.98/claim|Median: $37.81
2.2× median
90791Normal range

Psychiatric diagnostic evaluation

$277K

2,992 claims · 2.2%

Your Cost: $92.73/claim|Median: $99.21
0.9× median
97140Normal range

Manual therapy techniques, per 15 minutes

$195K

21K claims · 1.6%

Your Cost: $9.45/claim|Median: $16.79
0.6× median
97162Normal range

PT evaluation, moderate complexity

$174K

4,813 claims · 1.4%

Your Cost: $36.24/claim|Median: $46.10
0.8× median
97535Normal range

Self-care/home management training, per 15 minutes

$141K

7,038 claims · 1.1%

Your Cost: $20.03/claim|Median: $18.18
1.1× median
97010Top 10%

Hot/cold packs application

$140K

5,101 claims · 1.1%

Your Cost: $27.46/claim|Median: $4.47
6.1× median
97161Normal range

Physical therapy evaluation, low complexity

$128K

2,656 claims · 1.0%

Your Cost: $48.24/claim|Median: $47.89
1.0× median
97116Normal range

Gait training

$100K

8,750 claims · 0.8%

Your Cost: $11.42/claim|Median: $12.48
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$98K

3,091 claims · 0.8%

Your Cost: $31.83/claim|Median: $41.28
0.8× median
96101Top 1%

$91K

103 claims · 0.7%

Your Cost: $879.95/claim|Median: $196.08
4.5× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$89K

539 claims · 0.7%

Your Cost: $166.01/claim|Median: $110.87
1.5× median
97166Normal range

OT evaluation, moderate complexity

$88K

1,983 claims · 0.7%

Your Cost: $44.36/claim|Median: $48.74
0.9× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$86K

6,062 claims · 0.7%

Your Cost: $14.19/claim|Median: $38.83
0.4× median
97035Top 10%

Ultrasound therapy

$73K

2,358 claims · 0.6%

Your Cost: $31.16/claim|Median: $7.31
4.3× median
92609Normal range

$55K

1,365 claims · 0.4%

Your Cost: $40.36/claim|Median: $59.78
0.7× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$52K

1,928 claims · 0.4%

Your Cost: $27.12/claim|Median: $49.74
0.5× median
97163Normal range

PT evaluation, high complexity

$34K

1,244 claims · 0.3%

Your Cost: $27.34/claim|Median: $50.34
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$21K

203 claims · 0.2%

Your Cost: $104.92/claim|Median: $108.91
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$18K

312 claims · 0.1%

Your Cost: $56.82/claim|Median: $77.33
0.7× median
97760Normal range

$18K

753 claims · 0.1%

Your Cost: $23.48/claim|Median: $30.29
0.8× median
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