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Provider 1558365270

NPI: 1558365270Share
Active Billing Period:2018-01→2023-03(63 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$10.7M

$10,667,674

Total Claims

260K

Beneficiaries

17K

15.3 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+128%
2019
$2.3M
+64%
2020
$3.8M
-74%
2021
$1.0M
+104%
2022
$2.1M
-77%
2023
$468K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 33% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$3.6M

86K claims · 33.3%

Your Cost: $41.24/claim|Median: $33.11
1.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.4M

54K claims · 22.6%

Your Cost: $44.50/claim|Median: $24.49
1.8× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.4M

36K claims · 13.1%

Your Cost: $39.17/claim|Median: $20.04
2.0× median
97116Top 10%

Gait training

$1.3M

28K claims · 12.0%

Your Cost: $45.15/claim|Median: $12.48
3.6× median
97535Top 25%

Self-care/home management training, per 15 minutes

$1.1M

31K claims · 10.7%

Your Cost: $37.12/claim|Median: $18.18
2.0× median
92507Normal range

Speech/hearing/language treatment

$602K

14K claims · 5.6%

Your Cost: $43.23/claim|Median: $49.45
0.9× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$84K

6,021 claims · 0.8%

Your Cost: $13.91/claim|Median: $49.74
0.3× median
G8978Top 10%

$50K

426 claims · 0.5%

Your Cost: $117.92/claim|Median: $5.17
22.8× median
97162Normal range

PT evaluation, moderate complexity

$42K

1,107 claims · 0.4%

Your Cost: $38.25/claim|Median: $46.10
0.8× median
G8979Top 10%

$39K

615 claims · 0.4%

Your Cost: $63.35/claim|Median: $3.96
16.0× median
97166Normal range

OT evaluation, moderate complexity

$30K

1,092 claims · 0.3%

Your Cost: $27.20/claim|Median: $48.74
0.6× median
G8987Top 25%

$17K

307 claims · 0.2%

Your Cost: $56.59/claim|Median: $12.37
4.6× median
G8988Normal range

$14K

490 claims · 0.1%

Your Cost: $28.91/claim|Median: $8.81
3.3× median
97165Top 5%

OT evaluation, low complexity

$4K

20 claims · 0.0%

Your Cost: $198.05/claim|Median: $46.78
4.2× median
G8980Top 25%

$2K

55 claims · 0.0%

Your Cost: $28.93/claim|Median: $0.84
34.4× median
G8996Normal range

$471

25 claims · 0.0%

Your Cost: $18.86/claim|Median: $11.40
1.7× median
92610Normal range

Evaluation of swallowing function

$85

47 claims · 0.0%

Your Cost: $1.81/claim|Median: $45.22
0.0× median
90688Normal range

$0

182 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
G0008Normal range

$0

254 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
G8997Normal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.58
0004ANormal range

$0

108 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.62
97542Normal range

Wheelchair management training

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.66
90670Normal range

$0

24 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
G8989Normal range

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.24
G0009Normal range

$0

24 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.11
90656Normal range

$0

46 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
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