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

⚖️ Compare🖨️ Print Report

Provider 1629002936

NPI: 1629002936Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.2M

$15,178,237

Total Claims

418K

Beneficiaries

145K

2.9 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+4%
2019
$3.2M
-49%
2020
$1.6M
+64%
2021
$2.7M
-13%
2022
$2.3M
-33%
2023
$1.6M
-59%
2024
$636K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (97533) accounts for 26% of total spending.

97533Normal range

$3.9M

82K claims · 25.8%

Your Cost: $47.45/claim|Median: $48.71
1.0× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$2.6M

60K claims · 16.9%

Your Cost: $42.36/claim|Median: $16.79
2.5× median
97130Normal range

$2.0M

40K claims · 13.1%

Your Cost: $49.57/claim|Median: $21.60
2.3× median
G0515Top 25%

$1.7M

19K claims · 11.3%

Your Cost: $92.47/claim|Median: $23.57
3.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$802K

57K claims · 5.3%

Your Cost: $14.07/claim|Median: $20.04
0.7× median
97129Normal range

$766K

40K claims · 5.0%

Your Cost: $19.06/claim|Median: $17.39
1.1× median
92507Normal range

Speech/hearing/language treatment

$712K

15K claims · 4.7%

Your Cost: $48.39/claim|Median: $49.45
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$644K

31K claims · 4.2%

Your Cost: $20.75/claim|Median: $24.49
0.8× median
97530Normal range

Therapeutic activities, each 15 min

$637K

42K claims · 4.2%

Your Cost: $15.14/claim|Median: $33.11
0.5× median
97750Top 25%

$354K

6,397 claims · 2.3%

Your Cost: $55.28/claim|Median: $30.89
1.8× median
92521Top 25%

Evaluation of speech fluency

$350K

4,257 claims · 2.3%

Your Cost: $82.15/claim|Median: $31.97
2.6× median
92523Normal range

Evaluation of speech sound production with language comprehension

$194K

4,592 claims · 1.3%

Your Cost: $42.26/claim|Median: $110.87
0.4× median
97010Top 10%

Hot/cold packs application

$171K

7,227 claims · 1.1%

Your Cost: $23.72/claim|Median: $4.47
5.3× median
92522Top 25%

Evaluation of speech sound production

$150K

1,848 claims · 1.0%

Your Cost: $80.92/claim|Median: $32.17
2.5× median
92508Top 5%

Treatment of speech/language disorder, group, 2+ patients

$98K

2,871 claims · 0.6%

Your Cost: $34.31/claim|Median: $13.22
2.6× median
97165Normal range

OT evaluation, low complexity

$64K

1,454 claims · 0.4%

Your Cost: $44.21/claim|Median: $46.78
0.9× median
99490Top 5%

Chronic care management services, 20 minutes per month

$28K

410 claims · 0.2%

Your Cost: $68.12/claim|Median: $6.31
10.8× median
97014Top 25%

Electrical stimulation, unattended

$23K

1,688 claims · 0.2%

Your Cost: $13.70/claim|Median: $8.83
1.6× median
97166Normal range

OT evaluation, moderate complexity

$664

269 claims · 0.0%

Your Cost: $2.47/claim|Median: $48.74
0.1× median
← All providersHow we detect fraud →