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Provider 1639395346

NPI: 1639395346Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.4M

$12,448,980

Total Claims

512K

Beneficiaries

181K

2.8 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-28%
2019
$2.0M
-32%
2020
$1.4M
+24%
2021
$1.7M
-42%
2022
$991K
+53%
2023
$1.5M
+36%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92508 (Treatment of speech/language disorder, group, 2+ patients)) accounts for 37% of total spending.

92508Normal range

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

$4.6M

365K claims · 37.2%

Your Cost: $12.69/claim|Median: $13.22
1.0× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$1.9M

7,044 claims · 15.7%

Your Cost: $276.83/claim|Median: $79.21
3.5× median
92507Normal range

Speech/hearing/language treatment

$1.7M

49K claims · 13.6%

Your Cost: $34.60/claim|Median: $49.45
0.7× median
96158Top 25%

$705K

15K claims · 5.7%

Your Cost: $48.51/claim|Median: $28.43
1.7× median
96101Normal range

$641K

2,853 claims · 5.1%

Your Cost: $224.55/claim|Median: $196.08
1.1× median
92523Normal range

Evaluation of speech sound production with language comprehension

$601K

14K claims · 4.8%

Your Cost: $43.45/claim|Median: $110.87
0.4× median
T1001Normal range

Nursing assessment/evaluation, per visit

$562K

7,156 claims · 4.5%

Your Cost: $78.60/claim|Median: $49.05
1.6× median
97110Normal range

Therapeutic exercises, each 15 min

$488K

13K claims · 3.9%

Your Cost: $36.64/claim|Median: $24.49
1.5× median
96152Normal range

Health behavior intervention, individual

$250K

6,463 claims · 2.0%

Your Cost: $38.60/claim|Median: $20.02
1.9× median
97167Normal range

OT evaluation, high complexity

$234K

2,035 claims · 1.9%

Your Cost: $115.07/claim|Median: $70.96
1.6× median
92521Normal range

Evaluation of speech fluency

$143K

5,089 claims · 1.1%

Your Cost: $28.09/claim|Median: $31.97
0.9× median
T2003Normal range

Non-emergency transport; encounter/trip

$113K

5,000 claims · 0.9%

Your Cost: $22.68/claim|Median: $21.70
1.0× median
97168Top 25%

OT re-evaluation

$93K

963 claims · 0.7%

Your Cost: $96.91/claim|Median: $50.43
1.9× median
92524Normal range

Behavioral/qualitative analysis of voice

$93K

3,422 claims · 0.7%

Your Cost: $27.22/claim|Median: $29.36
0.9× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$69K

5,839 claims · 0.6%

Your Cost: $11.88/claim|Median: $12.12
1.0× median
92522Normal range

Evaluation of speech sound production

$38K

2,100 claims · 0.3%

Your Cost: $18.08/claim|Median: $32.17
0.6× median
97003Normal range

$25K

245 claims · 0.2%

Your Cost: $102.59/claim|Median: $98.97
1.0× median
97164Top 5%

PT re-evaluation

$24K

237 claims · 0.2%

Your Cost: $101.31/claim|Median: $32.66
3.1× median
T1004Normal range

Services of a qualified nursing aide, per 15 minutes

$24K

1,335 claims · 0.2%

Your Cost: $17.73/claim|Median: $50.30
0.4× median
96164Normal range

$20K

1,877 claims · 0.2%

Your Cost: $10.72/claim|Median: $9.87
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$15K

1,637 claims · 0.1%

Your Cost: $9.01/claim|Median: $6.61
1.4× median
96153Normal range

Health/behavior intervention, group

$14K

1,583 claims · 0.1%

Your Cost: $8.58/claim|Median: $6.67
1.3× median
97004Top 1%

$10K

120 claims · 0.1%

Your Cost: $84.65/claim|Median: $84.65
1.0× median
99173Normal range

$5K

1,238 claims · 0.0%

Your Cost: $4.18/claim|Median: $2.16
1.9× median
96156Normal range

$4K

348 claims · 0.0%

Your Cost: $11.60/claim|Median: $22.36
0.5× median
97163Top 25%

PT evaluation, high complexity

$3K

27 claims · 0.0%

Your Cost: $116.19/claim|Median: $50.34
2.3× median
T1003Normal range

LPN/LVN services, per 15 minutes

$2K

166 claims · 0.0%

Your Cost: $14.82/claim|Median: $24.24
0.6× median
96110Top 25%

Developmental screening, per standardized instrument

$1K

91 claims · 0.0%

Your Cost: $15.54/claim|Median: $9.10
1.7× median
96159Normal range

$568

34 claims · 0.0%

Your Cost: $16.71/claim|Median: $20.68
0.8× median
V5011Normal range

$543

15 claims · 0.0%

Your Cost: $36.19/claim|Median: $36.19
1.0× median
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