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Provider 1629057930

NPI: 1629057930Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$14.5M

$14,511,421

Total Claims

449K

Beneficiaries

184K

2.4 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+41%
2019
$2.0M
+10%
2020
$2.2M
+25%
2021
$2.7M
-13%
2022
$2.3M
-6%
2023
$2.2M
-21%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 28% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$4.1M

135K claims · 28.0%

Your Cost: $30.12/claim|Median: $24.49
1.2× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$3.7M

109K claims · 25.7%

Your Cost: $34.16/claim|Median: $20.04
1.7× median
97530Normal range

Therapeutic activities, each 15 min

$3.7M

101K claims · 25.5%

Your Cost: $36.64/claim|Median: $33.11
1.1× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$2.4M

94K claims · 16.4%

Your Cost: $25.37/claim|Median: $16.79
1.5× median
97161Top 25%

Physical therapy evaluation, low complexity

$416K

6,278 claims · 2.9%

Your Cost: $66.29/claim|Median: $47.89
1.4× median
97162Normal range

PT evaluation, moderate complexity

$200K

3,341 claims · 1.4%

Your Cost: $59.77/claim|Median: $46.10
1.3× median
97163Normal range

PT evaluation, high complexity

$10K

138 claims · 0.1%

Your Cost: $69.95/claim|Median: $50.34
1.4× median
97535Normal range

Self-care/home management training, per 15 minutes

$4K

180 claims · 0.0%

Your Cost: $21.16/claim|Median: $18.18
1.2× median
97165Top 25%

OT evaluation, low complexity

$2K

26 claims · 0.0%

Your Cost: $80.78/claim|Median: $46.78
1.7× median
97164Normal range

PT re-evaluation

$2K

123 claims · 0.0%

Your Cost: $16.31/claim|Median: $32.66
0.5× median
97014Normal range

Electrical stimulation, unattended

$2K

175 claims · 0.0%

Your Cost: $10.61/claim|Median: $8.83
1.2× median
97010Normal range

Hot/cold packs application

$0

52 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.47