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

⚖️ Compare🖨️ Print Report

Provider 1598065096

NPI: 1598065096Share
Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$11.0M

$11,017,402

Total Claims

178K

Beneficiaries

51K

3.5 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2019
$1.3M
-5%
2020
$1.3M
+29%
2021
$1.6M
+29%
2022
$2.1M
+27%
2023
$2.7M
-28%
2024
$1.9M

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 33% of total spending.

92507Top 25%

Speech/hearing/language treatment

$3.6M

53K claims · 32.6%

Your Cost: $68.02/claim|Median: $49.45
1.4× median
97532Top 25%

$1.8M

26K claims · 16.5%

Your Cost: $69.08/claim|Median: $28.76
2.4× median
97530Top 25%

Therapeutic activities, each 15 min

$1.3M

20K claims · 11.8%

Your Cost: $66.04/claim|Median: $33.11
2.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.2M

19K claims · 11.0%

Your Cost: $64.91/claim|Median: $24.49
2.7× median
96112Top 5%

Developmental test administration

$657K

1,740 claims · 6.0%

Your Cost: $377.74/claim|Median: $102.95
3.7× median
97129Top 25%

$608K

9,889 claims · 5.5%

Your Cost: $61.44/claim|Median: $17.39
3.5× median
T1017Normal range

Targeted case management, per 15 min

$522K

21K claims · 4.7%

Your Cost: $24.90/claim|Median: $69.56
0.4× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$487K

17K claims · 4.4%

Your Cost: $29.06/claim|Median: $27.28
1.1× median
97127Normal range

$237K

3,349 claims · 2.2%

Your Cost: $70.73/claim|Median: $66.78
1.1× median
T1027Normal range

Family training and counseling, per 15 minutes

$187K

2,518 claims · 1.7%

Your Cost: $74.41/claim|Median: $53.00
1.4× median
H2014Normal range

Skills training & development, per 15 min

$76K

1,078 claims · 0.7%

Your Cost: $70.34/claim|Median: $83.88
0.8× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$75K

1,065 claims · 0.7%

Your Cost: $70.46/claim|Median: $24.33
2.9× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$64K

1,049 claims · 0.6%

Your Cost: $61.36/claim|Median: $20.04
3.1× median
92523Top 5%

Evaluation of speech sound production with language comprehension

$62K

214 claims · 0.6%

Your Cost: $289.44/claim|Median: $110.87
2.6× median
97116Top 5%

Gait training

$43K

669 claims · 0.4%

Your Cost: $64.94/claim|Median: $12.48
5.2× median
96164Top 1%

$33K

400 claims · 0.3%

Your Cost: $83.09/claim|Median: $9.87
8.4× median
97535Top 25%

Self-care/home management training, per 15 minutes

$18K

276 claims · 0.2%

Your Cost: $66.22/claim|Median: $18.18
3.6× median
97167Top 10%

OT evaluation, high complexity

$4K

25 claims · 0.0%

Your Cost: $177.72/claim|Median: $70.96
2.5× median
96154Normal range

$3K

62 claims · 0.0%

Your Cost: $55.69/claim|Median: $36.72
1.5× median
97158Normal range

$3K

25 claims · 0.0%

Your Cost: $120.00/claim|Median: $56.17
2.1× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$3K

51 claims · 0.0%

Your Cost: $52.20/claim|Median: $15.54
3.4× median
97533Normal range

$2K

27 claims · 0.0%

Your Cost: $69.43/claim|Median: $48.71
1.4× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$2K

25 claims · 0.0%

Your Cost: $69.50/claim|Median: $84.12
0.8× median
← All providersHow we detect fraud →