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Provider 1497048185

NPI: 1497048185Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,472,198

Total Claims

257K

Beneficiaries

33K

7.7 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+26%
2019
$2.4M
-2%
2020
$2.4M
+19%
2021
$2.8M
-5%
2022
$2.7M
-16%
2023
$2.2M
-10%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 53% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.7M

136K claims · 52.6%

Your Cost: $63.82/claim|Median: $121.16
0.5× median
92507Top 25%

Speech/hearing/language treatment

$2.8M

38K claims · 16.8%

Your Cost: $72.63/claim|Median: $49.45
1.5× median
97110Top 10%

Therapeutic exercises, each 15 min

$2.5M

33K claims · 14.9%

Your Cost: $75.00/claim|Median: $24.49
3.1× median
97530Top 25%

Therapeutic activities, each 15 min

$2.1M

35K claims · 13.0%

Your Cost: $61.18/claim|Median: $33.11
1.8× median
97532Normal range

$208K

7,141 claims · 1.3%

Your Cost: $29.08/claim|Median: $28.76
1.0× median
97535Normal range

Self-care/home management training, per 15 minutes

$205K

6,914 claims · 1.2%

Your Cost: $29.63/claim|Median: $18.18
1.6× median
99367Normal range

$22K

541 claims · 0.1%

Your Cost: $40.66/claim|Median: $35.65
1.1× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$7K

68 claims · 0.0%

Your Cost: $104.82/claim|Median: $106.70
1.0× median
96112Normal range

Developmental test administration

$3K

26 claims · 0.0%

Your Cost: $103.85/claim|Median: $102.95
1.0× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$2K

171 claims · 0.0%

Your Cost: $10.71/claim|Median: $119.08
0.1× median
96111Normal range

$1K

27 claims · 0.0%

Your Cost: $49.49/claim|Median: $86.72
0.6× median
96113Normal range

Developmental test admin, each additional 30 min

$1K

13 claims · 0.0%

Your Cost: $99.69/claim|Median: $77.06
1.3× median
92587Top 10%

$807

12 claims · 0.0%

Your Cost: $67.24/claim|Median: $19.24
3.5× median
T1027Normal range

Family training and counseling, per 15 minutes

$668

101 claims · 0.0%

Your Cost: $6.61/claim|Median: $53.00
0.1× median
99213Normal range

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

$436

15 claims · 0.0%

Your Cost: $29.04/claim|Median: $37.81
0.8× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$356

13 claims · 0.0%

Your Cost: $27.42/claim|Median: $27.38
1.0× median
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