Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1508979162

NPI: 1508979162Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,812,805

Total Claims

233K

Beneficiaries

126K

1.8 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+31%
2019
$1.6M
-11%
2020
$1.4M
+17%
2021
$1.6M
+9%
2022
$1.8M
+5%
2023
$1.9M
-30%
2024
$1.3M

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 29% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$3.2M

54K claims · 29.1%

Your Cost: $58.07/claim|Median: $33.11
1.8× median
99213Top 25%

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

$2.8M

40K claims · 25.5%

Your Cost: $68.55/claim|Median: $37.81
1.8× median
97110Normal range

Therapeutic exercises, each 15 min

$1.1M

34K claims · 10.0%

Your Cost: $31.81/claim|Median: $24.49
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$560K

26K claims · 5.2%

Your Cost: $21.46/claim|Median: $16.79
1.3× median
97799Top 25%

$490K

10K claims · 4.5%

Your Cost: $46.89/claim|Median: $16.72
2.8× median
99203Top 25%

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

$453K

4,629 claims · 4.2%

Your Cost: $97.96/claim|Median: $57.85
1.7× median
97161Normal range

Physical therapy evaluation, low complexity

$374K

6,711 claims · 3.5%

Your Cost: $55.78/claim|Median: $47.89
1.2× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$277K

14K claims · 2.6%

Your Cost: $20.01/claim|Median: $20.04
1.0× median
97162Top 25%

PT evaluation, moderate complexity

$234K

3,048 claims · 2.2%

Your Cost: $76.83/claim|Median: $46.10
1.7× median
99214Top 25%

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

$217K

2,207 claims · 2.0%

Your Cost: $98.30/claim|Median: $53.41
1.8× median
76881Top 25%

$169K

2,360 claims · 1.6%

Your Cost: $71.56/claim|Median: $45.18
1.6× median
29530Top 10%

$166K

4,991 claims · 1.5%

Your Cost: $33.18/claim|Median: $14.43
2.3× median
95910Normal range

$144K

1,337 claims · 1.3%

Your Cost: $107.47/claim|Median: $97.13
1.1× median
95886Normal range

$79K

806 claims · 0.7%

Your Cost: $98.17/claim|Median: $67.70
1.5× median
72110Normal range

$75K

2,647 claims · 0.7%

Your Cost: $28.28/claim|Median: $21.02
1.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$64K

5,098 claims · 0.6%

Your Cost: $12.58/claim|Median: $9.70
1.3× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$63K

886 claims · 0.6%

Your Cost: $70.86/claim|Median: $40.11
1.8× median
95923Top 25%

$53K

584 claims · 0.5%

Your Cost: $90.15/claim|Median: $44.24
2.0× median
72070Normal range

$50K

2,778 claims · 0.5%

Your Cost: $17.83/claim|Median: $17.22
1.0× median
95921Top 25%

$39K

739 claims · 0.4%

Your Cost: $52.90/claim|Median: $31.18
1.7× median
99212Top 10%

Office/outpatient visit, low complexity

$30K

523 claims · 0.3%

Your Cost: $57.29/claim|Median: $25.06
2.3× median
29260Top 25%

$24K

813 claims · 0.2%

Your Cost: $29.31/claim|Median: $18.51
1.6× median
95911Normal range

$23K

190 claims · 0.2%

Your Cost: $122.55/claim|Median: $122.86
1.0× median
20552Top 25%

$22K

321 claims · 0.2%

Your Cost: $69.51/claim|Median: $23.11
3.0× median
E0730Normal range

$22K

246 claims · 0.2%

Your Cost: $89.14/claim|Median: $52.06
1.7× median
29540Top 25%

$20K

805 claims · 0.2%

Your Cost: $25.41/claim|Median: $13.93
1.8× median
72050Normal range

$18K

671 claims · 0.2%

Your Cost: $26.63/claim|Median: $23.33
1.1× median
97760Normal range

$17K

840 claims · 0.2%

Your Cost: $19.88/claim|Median: $30.29
0.7× median
L3000Top 25%

Foot insert, removable, molded to patient model

$13K

36 claims · 0.1%

Your Cost: $363.55/claim|Median: $205.41
1.8× median
73564Top 25%

$12K

453 claims · 0.1%

Your Cost: $26.60/claim|Median: $15.00
1.8× median
← All providersHow we detect fraud →