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Provider 1578717435

NPI: 1578717435Share
Active Billing Period:2019-04→2024-12(69 months)

Total Paid

$17.1M

$17,116,355

Total Claims

238K

Beneficiaries

51K

4.7 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2019
$1.5M
+77%
2020
$2.6M
+22%
2021
$3.2M
+16%
2022
$3.7M
-7%
2023
$3.5M
-23%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 26% of total spending.

92507Top 25%

Speech/hearing/language treatment

$4.5M

59K claims · 26.2%

Your Cost: $76.10/claim|Median: $49.45
1.5× median
H2014Normal range

Skills training & development, per 15 min

$4.1M

48K claims · 24.2%

Your Cost: $86.53/claim|Median: $83.88
1.0× median
97530Top 25%

Therapeutic activities, each 15 min

$1.7M

22K claims · 9.9%

Your Cost: $76.64/claim|Median: $33.11
2.3× median
T1017Normal range

Targeted case management, per 15 min

$1.1M

35K claims · 6.2%

Your Cost: $29.85/claim|Median: $69.56
0.4× median
96112Top 10%

Developmental test administration

$1.0M

2,981 claims · 6.1%

Your Cost: $351.07/claim|Median: $102.95
3.4× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$987K

9,582 claims · 5.8%

Your Cost: $103.02/claim|Median: $146.45
0.7× median
97533Normal range

$668K

8,849 claims · 3.9%

Your Cost: $75.54/claim|Median: $48.71
1.6× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$661K

22K claims · 3.9%

Your Cost: $29.60/claim|Median: $27.28
1.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$639K

8,661 claims · 3.7%

Your Cost: $73.78/claim|Median: $24.49
3.0× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$467K

6,311 claims · 2.7%

Your Cost: $73.97/claim|Median: $20.04
3.7× median
H2037Normal range

$463K

5,629 claims · 2.7%

Your Cost: $82.24/claim|Median: $83.80
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$204K

2,570 claims · 1.2%

Your Cost: $79.57/claim|Median: $84.12
0.9× median
T1027Top 25%

Family training and counseling, per 15 minutes

$165K

2,073 claims · 1.0%

Your Cost: $79.37/claim|Median: $53.00
1.5× median
97116Top 5%

Gait training

$154K

2,056 claims · 0.9%

Your Cost: $75.04/claim|Median: $12.48
6.0× median
H2027Normal range

Psychoeducational service, per 15 minutes

$151K

1,516 claims · 0.9%

Your Cost: $99.73/claim|Median: $82.72
1.2× median
92526Top 25%

Treatment of swallowing dysfunction and/or oral function

$51K

708 claims · 0.3%

Your Cost: $71.91/claim|Median: $49.74
1.4× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$31K

220 claims · 0.2%

Your Cost: $139.64/claim|Median: $79.21
1.8× median
92523Top 10%

Evaluation of speech sound production with language comprehension

$16K

79 claims · 0.1%

Your Cost: $204.54/claim|Median: $110.87
1.8× median
97167Top 10%

OT evaluation, high complexity

$10K

60 claims · 0.1%

Your Cost: $169.80/claim|Median: $70.96
2.4× median
97535Top 10%

Self-care/home management training, per 15 minutes

$9K

111 claims · 0.1%

Your Cost: $80.76/claim|Median: $18.18
4.4× median
96110Top 1%

Developmental screening, per standardized instrument

$7K

24 claims · 0.0%

Your Cost: $288.79/claim|Median: $9.10
31.7× median
90832Top 25%

Psychotherapy, 30 minutes

$5K

63 claims · 0.0%

Your Cost: $79.68/claim|Median: $41.28
1.9× median
97166Top 5%

OT evaluation, moderate complexity

$4K

20 claims · 0.0%

Your Cost: $179.48/claim|Median: $48.74
3.7× median
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