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Provider 1619120060

NPI: 1619120060Share
Active Billing Period:2019-03→2024-12(70 months)

Total Paid

$9.2M

$9,215,672

Total Claims

155K

Beneficiaries

36K

4.4 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2019
$1.1M
+52%
2020
$1.6M
+1%
2021
$1.6M
+12%
2022
$1.8M
-5%
2023
$1.8M
-28%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 21% of total spending.

T1017Normal range

Targeted case management, per 15 min

$1.9M

56K claims · 20.9%

Your Cost: $34.73/claim|Median: $69.56
0.5× median
96112Top 25%

Developmental test administration

$1.2M

4,791 claims · 13.4%

Your Cost: $257.74/claim|Median: $102.95
2.5× median
92507Top 25%

Speech/hearing/language treatment

$1.2M

15K claims · 12.8%

Your Cost: $78.03/claim|Median: $49.45
1.6× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$1.1M

31K claims · 11.7%

Your Cost: $34.50/claim|Median: $27.28
1.3× median
H2014Normal range

Skills training & development, per 15 min

$987K

12K claims · 10.7%

Your Cost: $83.34/claim|Median: $83.88
1.0× median
97110Top 10%

Therapeutic exercises, each 15 min

$918K

12K claims · 10.0%

Your Cost: $78.84/claim|Median: $24.49
3.2× median
97530Top 25%

Therapeutic activities, each 15 min

$719K

9,263 claims · 7.8%

Your Cost: $77.63/claim|Median: $33.11
2.3× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$441K

5,590 claims · 4.8%

Your Cost: $78.96/claim|Median: $20.04
3.9× median
97116Top 5%

Gait training

$407K

5,208 claims · 4.4%

Your Cost: $78.11/claim|Median: $12.48
6.3× median
97533Top 25%

$186K

2,374 claims · 2.0%

Your Cost: $78.36/claim|Median: $48.71
1.6× median
T2003Normal range

Non-emergency transport; encounter/trip

$62K

1,824 claims · 0.7%

Your Cost: $34.20/claim|Median: $21.70
1.6× median
H2027Normal range

Psychoeducational service, per 15 minutes

$57K

690 claims · 0.6%

Your Cost: $82.62/claim|Median: $82.72
1.0× median
H2037Normal range

$12K

155 claims · 0.1%

Your Cost: $77.13/claim|Median: $83.80
0.9× median
97535Top 10%

Self-care/home management training, per 15 minutes

$4K

48 claims · 0.0%

Your Cost: $79.79/claim|Median: $18.18
4.4× median
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