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Provider 1629280128

NPI: 1629280128Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,761,675

Total Claims

263K

Beneficiaries

98K

2.7 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-23%
2019
$1.4M
-31%
2020
$948K
+31%
2021
$1.2M
-13%
2022
$1.1M
+27%
2023
$1.4M
-30%
2024
$957K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 40% of total spending.

92507Normal range

Speech/hearing/language treatment

$3.5M

89K claims · 40.5%

Your Cost: $39.86/claim|Median: $49.45
0.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.3M

53K claims · 26.7%

Your Cost: $44.18/claim|Median: $24.49
1.8× median
92508Normal range

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

$1.4M

94K claims · 15.5%

Your Cost: $14.35/claim|Median: $13.22
1.1× median
96130Top 10%

Psychological testing evaluation by professional, first hour

$370K

1,286 claims · 4.2%

Your Cost: $287.64/claim|Median: $79.21
3.6× median
97167Normal range

OT evaluation, high complexity

$274K

2,368 claims · 3.1%

Your Cost: $115.76/claim|Median: $70.96
1.6× median
T1004Normal range

Services of a qualified nursing aide, per 15 minutes

$191K

4,514 claims · 2.2%

Your Cost: $42.33/claim|Median: $50.30
0.8× median
T1001Normal range

Nursing assessment/evaluation, per visit

$168K

2,615 claims · 1.9%

Your Cost: $64.28/claim|Median: $49.05
1.3× median
92523Normal range

Evaluation of speech sound production with language comprehension

$145K

3,095 claims · 1.7%

Your Cost: $46.72/claim|Median: $110.87
0.4× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$103K

6,541 claims · 1.2%

Your Cost: $15.75/claim|Median: $12.12
1.3× median
96101Top 25%

$79K

320 claims · 0.9%

Your Cost: $247.10/claim|Median: $196.08
1.3× median
V5011Normal range

$39K

1,095 claims · 0.4%

Your Cost: $35.17/claim|Median: $36.19
1.0× median
96152Normal range

Health behavior intervention, individual

$35K

953 claims · 0.4%

Your Cost: $37.20/claim|Median: $20.02
1.9× median
97003Normal range

$21K

199 claims · 0.2%

Your Cost: $103.36/claim|Median: $98.97
1.0× median
92521Normal range

Evaluation of speech fluency

$19K

673 claims · 0.2%

Your Cost: $28.51/claim|Median: $31.97
0.9× median
92524Normal range

Behavioral/qualitative analysis of voice

$19K

782 claims · 0.2%

Your Cost: $24.18/claim|Median: $29.36
0.8× median
97163Top 10%

PT evaluation, high complexity

$15K

118 claims · 0.2%

Your Cost: $125.65/claim|Median: $50.34
2.5× median
96158Top 10%

$13K

203 claims · 0.2%

Your Cost: $65.58/claim|Median: $28.43
2.3× median
92522Normal range

Evaluation of speech sound production

$8K

342 claims · 0.1%

Your Cost: $24.29/claim|Median: $32.17
0.8× median
96153Normal range

Health/behavior intervention, group

$7K

889 claims · 0.1%

Your Cost: $8.30/claim|Median: $6.67
1.2× median
T2003Normal range

Non-emergency transport; encounter/trip

$7K

359 claims · 0.1%

Your Cost: $19.39/claim|Median: $21.70
0.9× median
92557Top 5%

Comprehensive audiometry, air, bone, and speech testing

$6K

57 claims · 0.1%

Your Cost: $100.12/claim|Median: $27.28
3.7× median
A0425Normal range

Ground mileage, per statute mile

$3K

359 claims · 0.0%

Your Cost: $8.41/claim|Median: $23.36
0.4× median
96150Top 25%

Health behavior assessment, initial

$2K

79 claims · 0.0%

Your Cost: $29.73/claim|Median: $17.83
1.7× median
96164Top 25%

$2K

131 claims · 0.0%

Your Cost: $17.75/claim|Median: $9.87
1.8× median
96151Normal range

Health behavior reassessment

$166

12 claims · 0.0%

Your Cost: $13.85/claim|Median: $15.43
0.9× median
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