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Provider 1497752091

NPI: 1497752091Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.0M

$8,010,944

Total Claims

247K

Beneficiaries

106K

2.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+1%
2019
$1.3M
-36%
2020
$837K
+14%
2021
$956K
+2%
2022
$978K
+26%
2023
$1.2M
+15%
2024
$1.4M

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 28% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$2.2M

51K claims · 27.6%

Your Cost: $43.32/claim|Median: $33.11
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$1.7M

67K claims · 21.0%

Your Cost: $25.07/claim|Median: $24.49
1.0× median
92507Normal range

Speech/hearing/language treatment

$1.3M

30K claims · 16.3%

Your Cost: $43.28/claim|Median: $49.45
0.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$589K

22K claims · 7.4%

Your Cost: $26.90/claim|Median: $20.04
1.3× median
97533Normal range

$431K

12K claims · 5.4%

Your Cost: $37.28/claim|Median: $48.71
0.8× median
97113Normal range

$364K

8,472 claims · 4.5%

Your Cost: $42.99/claim|Median: $51.02
0.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$358K

22K claims · 4.5%

Your Cost: $16.56/claim|Median: $16.79
1.0× median
97161Normal range

Physical therapy evaluation, low complexity

$222K

4,729 claims · 2.8%

Your Cost: $46.99/claim|Median: $47.89
1.0× median
97162Normal range

PT evaluation, moderate complexity

$220K

5,165 claims · 2.7%

Your Cost: $42.56/claim|Median: $46.10
0.9× median
97535Normal range

Self-care/home management training, per 15 minutes

$138K

7,200 claims · 1.7%

Your Cost: $19.10/claim|Median: $18.18
1.1× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$109K

174 claims · 1.4%

Your Cost: $623.59/claim|Median: $233.73
2.7× median
97116Normal range

Gait training

$96K

4,976 claims · 1.2%

Your Cost: $19.29/claim|Median: $12.48
1.5× median
92523Normal range

Evaluation of speech sound production with language comprehension

$71K

641 claims · 0.9%

Your Cost: $111.18/claim|Median: $110.87
1.0× median
97166Normal range

OT evaluation, moderate complexity

$53K

1,025 claims · 0.7%

Your Cost: $51.44/claim|Median: $48.74
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$30K

631 claims · 0.4%

Your Cost: $48.21/claim|Median: $99.21
0.5× median
95782Normal range

$28K

37 claims · 0.3%

Your Cost: $750.81/claim|Median: $216.35
3.5× median
97014Normal range

Electrical stimulation, unattended

$24K

3,289 claims · 0.3%

Your Cost: $7.30/claim|Median: $8.83
0.8× median
93798Normal range

Cardiac rehabilitation with continuous ECG monitoring, per session

$18K

2,489 claims · 0.2%

Your Cost: $7.41/claim|Median: $44.45
0.2× median
97016Normal range

$16K

2,474 claims · 0.2%

Your Cost: $6.37/claim|Median: $8.30
0.8× median
97165Normal range

OT evaluation, low complexity

$13K

302 claims · 0.2%

Your Cost: $41.75/claim|Median: $46.78
0.9× median
95800Normal range

$9K

95 claims · 0.1%

Your Cost: $95.09/claim|Median: $86.65
1.1× median
97163Normal range

PT evaluation, high complexity

$8K

202 claims · 0.1%

Your Cost: $38.18/claim|Median: $50.34
0.8× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$6K

13 claims · 0.1%

Your Cost: $485.43/claim|Median: $255.03
1.9× median
90912Top 1%

$4K

29 claims · 0.1%

Your Cost: $146.31/claim|Median: $45.06
3.2× median
92522Normal range

Evaluation of speech sound production

$3K

57 claims · 0.0%

Your Cost: $55.39/claim|Median: $32.17
1.7× median
92508Normal range

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

$885

65 claims · 0.0%

Your Cost: $13.61/claim|Median: $13.22
1.0× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$696

65 claims · 0.0%

Your Cost: $10.70/claim|Median: $12.12
0.9× median
90785Normal range

$592

108 claims · 0.0%

Your Cost: $5.48/claim|Median: $6.43
0.9× median
97035Normal range

Ultrasound therapy

$576

106 claims · 0.0%

Your Cost: $5.43/claim|Median: $7.31
0.7× median
97032Normal range

Electrical stimulation, manual

$486

68 claims · 0.0%

Your Cost: $7.15/claim|Median: $9.42
0.8× median
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