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Provider 1528061827

NPI: 1528061827Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.9M

$16,901,955

Total Claims

614K

Beneficiaries

288K

2.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-1%
2019
$1.9M
-26%
2020
$1.4M
+48%
2021
$2.1M
+46%
2022
$3.0M
+15%
2023
$3.4M
-5%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 20% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$3.4M

119K claims · 20.4%

Your Cost: $28.96/claim|Median: $24.49
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$3.2M

125K claims · 19.0%

Your Cost: $25.80/claim|Median: $33.11
0.8× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$2.5M

80K claims · 14.8%

Your Cost: $31.23/claim|Median: $20.04
1.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1.4M

68K claims · 8.2%

Your Cost: $20.27/claim|Median: $16.79
1.2× median
97535Top 25%

Self-care/home management training, per 15 minutes

$1.2M

33K claims · 6.8%

Your Cost: $35.01/claim|Median: $18.18
1.9× median
97162Top 25%

PT evaluation, moderate complexity

$993K

13K claims · 5.9%

Your Cost: $74.52/claim|Median: $46.10
1.6× median
97116Top 25%

Gait training

$712K

23K claims · 4.2%

Your Cost: $31.04/claim|Median: $12.48
2.5× median
97016Normal range

$326K

22K claims · 1.9%

Your Cost: $14.53/claim|Median: $8.30
1.8× median
97163Normal range

PT evaluation, high complexity

$320K

5,834 claims · 1.9%

Your Cost: $54.83/claim|Median: $50.34
1.1× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$312K

55K claims · 1.8%

Your Cost: $5.69/claim|Median: $12.12
0.5× median
92507Normal range

Speech/hearing/language treatment

$257K

5,754 claims · 1.5%

Your Cost: $44.66/claim|Median: $49.45
0.9× median
97164Top 25%

PT re-evaluation

$242K

3,787 claims · 1.4%

Your Cost: $64.01/claim|Median: $32.66
2.0× median
97166Top 25%

OT evaluation, moderate complexity

$215K

2,642 claims · 1.3%

Your Cost: $81.43/claim|Median: $48.74
1.7× median
99213Normal range

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

$163K

3,291 claims · 1.0%

Your Cost: $49.42/claim|Median: $37.81
1.3× median
97161Normal range

Physical therapy evaluation, low complexity

$152K

3,679 claims · 0.9%

Your Cost: $41.39/claim|Median: $47.89
0.9× median
G0463Normal range

Hospital outpatient clinic visit

$151K

4,659 claims · 0.9%

Your Cost: $32.33/claim|Median: $26.41
1.2× median
97167Normal range

OT evaluation, high complexity

$144K

2,035 claims · 0.9%

Your Cost: $70.86/claim|Median: $70.96
1.0× median
99214Normal range

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

$143K

1,929 claims · 0.8%

Your Cost: $73.90/claim|Median: $53.41
1.4× median
97113Normal range

$124K

3,355 claims · 0.7%

Your Cost: $36.82/claim|Median: $51.02
0.7× median
97542Normal range

Wheelchair management training

$116K

3,258 claims · 0.7%

Your Cost: $35.45/claim|Median: $18.66
1.9× median
97165Top 25%

OT evaluation, low complexity

$108K

1,321 claims · 0.6%

Your Cost: $81.92/claim|Median: $46.78
1.8× median
20611Top 5%

Aspiration or injection of intermediate joint or bursa

$81K

398 claims · 0.5%

Your Cost: $202.40/claim|Median: $42.51
4.8× median
G0283Top 25%

$73K

6,044 claims · 0.4%

Your Cost: $12.11/claim|Median: $3.52
3.4× median
97760Normal range

$66K

1,559 claims · 0.4%

Your Cost: $42.49/claim|Median: $30.29
1.4× median
97014Top 25%

Electrical stimulation, unattended

$64K

3,953 claims · 0.4%

Your Cost: $16.07/claim|Median: $8.83
1.8× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$61K

533 claims · 0.4%

Your Cost: $113.68/claim|Median: $233.73
0.5× median
97018Normal range

Paraffin bath therapy

$47K

5,958 claims · 0.3%

Your Cost: $7.92/claim|Median: $5.30
1.5× median
97750Normal range

$42K

1,367 claims · 0.2%

Your Cost: $30.41/claim|Median: $30.89
1.0× median
99204Normal range

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

$39K

485 claims · 0.2%

Your Cost: $81.12/claim|Median: $84.03
1.0× median
92523Normal range

Evaluation of speech sound production with language comprehension

$39K

550 claims · 0.2%

Your Cost: $70.00/claim|Median: $110.87
0.6× median
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