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Provider 1518925569

NPI: 1518925569Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,533,918

Total Claims

380K

Beneficiaries

130K

2.9 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+17%
2019
$1.6M
-15%
2020
$1.4M
+38%
2021
$1.9M
-3%
2022
$1.9M
-1%
2023
$1.9M
-22%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 45% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$5.2M

121K claims · 45.1%

Your Cost: $43.05/claim|Median: $33.11
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$4.5M

137K claims · 38.9%

Your Cost: $32.78/claim|Median: $24.49
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$578K

37K claims · 5.0%

Your Cost: $15.53/claim|Median: $16.79
0.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$430K

22K claims · 3.7%

Your Cost: $19.97/claim|Median: $20.04
1.0× median
97161Normal range

Physical therapy evaluation, low complexity

$394K

7,316 claims · 3.4%

Your Cost: $53.85/claim|Median: $47.89
1.1× median
G0283Normal range

$245K

42K claims · 2.1%

Your Cost: $5.90/claim|Median: $3.52
1.7× median
97014Normal range

Electrical stimulation, unattended

$104K

9,928 claims · 0.9%

Your Cost: $10.50/claim|Median: $8.83
1.2× median
97535Normal range

Self-care/home management training, per 15 minutes

$52K

2,773 claims · 0.5%

Your Cost: $18.74/claim|Median: $18.18
1.0× median
97162Normal range

PT evaluation, moderate complexity

$22K

509 claims · 0.2%

Your Cost: $42.25/claim|Median: $46.10
0.9× median
97035Normal range

Ultrasound therapy

$6K

981 claims · 0.1%

Your Cost: $6.42/claim|Median: $7.31
0.9× median
97116Normal range

Gait training

$1K

119 claims · 0.0%

Your Cost: $11.75/claim|Median: $12.48
0.9× median
97164Normal range

PT re-evaluation

$1K

45 claims · 0.0%

Your Cost: $26.61/claim|Median: $32.66
0.8× median
97750Normal range

$505

33 claims · 0.0%

Your Cost: $15.29/claim|Median: $30.89
0.5× median
A4556Normal range

$391

49 claims · 0.0%

Your Cost: $7.99/claim|Median: $1.69
4.7× median
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