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Provider 1649513284

NPI: 1649513284Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,896,923

Total Claims

139K

Beneficiaries

34K

4.1 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$523K
+37%
2019
$718K
+72%
2020
$1.2M
+45%
2021
$1.8M
-0%
2022
$1.8M
+13%
2023
$2.0M
-8%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 30% of total spending.

92507Normal range

Speech/hearing/language treatment

$3.0M

49K claims · 30.1%

Your Cost: $60.25/claim|Median: $49.45
1.2× median
97530Top 10%

Therapeutic activities, each 15 min

$2.3M

26K claims · 23.3%

Your Cost: $89.84/claim|Median: $33.11
2.7× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.7M

30K claims · 17.5%

Your Cost: $58.42/claim|Median: $20.04
2.9× median
97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$1.3M

5,137 claims · 12.8%

Your Cost: $246.21/claim|Median: $167.38
1.5× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$645K

3,410 claims · 6.5%

Your Cost: $189.02/claim|Median: $146.45
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$548K

20K claims · 5.5%

Your Cost: $27.89/claim|Median: $24.49
1.1× median
97533Normal range

$193K

3,655 claims · 2.0%

Your Cost: $52.89/claim|Median: $48.71
1.1× median
92609Top 25%

$123K

1,504 claims · 1.2%

Your Cost: $82.00/claim|Median: $59.78
1.4× median
H0046Top 25%

Mental health services, not otherwise specified

$69K

258 claims · 0.7%

Your Cost: $267.89/claim|Median: $85.02
3.2× median
92606Normal range

$17K

485 claims · 0.2%

Your Cost: $36.00/claim|Median: $36.52
1.0× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$15K

94 claims · 0.1%

Your Cost: $155.23/claim|Median: $110.87
1.4× median
97167Normal range

OT evaluation, high complexity

$3K

44 claims · 0.0%

Your Cost: $79.20/claim|Median: $70.96
1.1× median
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