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Provider 1639322134

NPI: 1639322134Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,596,586

Total Claims

319K

Beneficiaries

117K

2.7 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$951K
+13%
2019
$1.1M
+29%
2020
$1.4M
+34%
2021
$1.9M
+5%
2022
$1.9M
+71%
2023
$3.3M
-67%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 32% of total spending.

97530Top 25%

Therapeutic activities, each 15 min

$3.7M

48K claims · 31.8%

Your Cost: $76.72/claim|Median: $33.11
2.3× median
92507Normal range

Speech/hearing/language treatment

$3.3M

141K claims · 28.1%

Your Cost: $23.10/claim|Median: $49.45
0.5× median
97535Normal range

Self-care/home management training, per 15 minutes

$2.0M

106K claims · 16.9%

Your Cost: $18.58/claim|Median: $18.18
1.0× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$1.7M

7,569 claims · 14.5%

Your Cost: $221.96/claim|Median: $167.38
1.3× median
92523Normal range

Evaluation of speech sound production with language comprehension

$381K

3,898 claims · 3.3%

Your Cost: $97.77/claim|Median: $110.87
0.9× median
92521Top 25%

Evaluation of speech fluency

$212K

3,414 claims · 1.8%

Your Cost: $62.12/claim|Median: $31.97
1.9× median
92524Normal range

Behavioral/qualitative analysis of voice

$175K

3,412 claims · 1.5%

Your Cost: $51.18/claim|Median: $29.36
1.7× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$90K

2,596 claims · 0.8%

Your Cost: $34.59/claim|Median: $20.04
1.7× median
97110Normal range

Therapeutic exercises, each 15 min

$82K

2,307 claims · 0.7%

Your Cost: $35.62/claim|Median: $24.49
1.5× median
97167Normal range

OT evaluation, high complexity

$60K

1,080 claims · 0.5%

Your Cost: $55.13/claim|Median: $70.96
0.8× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$5K

49 claims · 0.0%

Your Cost: $98.17/claim|Median: $146.45
0.7× median
97168Normal range

OT re-evaluation

$1K

44 claims · 0.0%

Your Cost: $34.03/claim|Median: $50.43
0.7× median
96111Normal range

$0

188 claims · 0.0%

Your Cost: $0.00/claim|Median: $86.72
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