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Provider 1659407633

NPI: 1659407633Share
Active Billing Period:2018-012024-11(78 months)

Total Paid

$9.5M

$9,487,108

Total Claims

656K

Beneficiaries

152K

4.3 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+7%
2019
$1.4M
-35%
2020
$900K
+31%
2021
$1.2M
+12%
2022
$1.3M
+17%
2023
$1.6M
+18%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 41% of total spending.

S5125Normal range

Attendant care services, per 15 min

$3.9M

191K claims · 41.0%

Your Cost: $20.39/claim|Median: $82.34
0.2× median
92508Normal range

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

$1.9M

151K claims · 19.9%

Your Cost: $12.54/claim|Median: $13.22
0.9× median
X0215Normal range

$1.3M

78K claims · 14.0%

Your Cost: $17.01/claim|Median: $17.89
1.0× median
T2003Normal range

Non-emergency transport; encounter/trip

$591K

124K claims · 6.2%

Your Cost: $4.75/claim|Median: $21.70
0.2× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$436K

42K claims · 4.6%

Your Cost: $10.41/claim|Median: $12.12
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$323K

18K claims · 3.4%

Your Cost: $17.61/claim|Median: $74.63
0.2× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$289K

7,503 claims · 3.0%

Your Cost: $38.53/claim|Median: $392.63
0.1× median
92507Normal range

Speech/hearing/language treatment

$239K

15K claims · 2.5%

Your Cost: $16.23/claim|Median: $49.45
0.3× median
97110Normal range

Therapeutic exercises, each 15 min

$188K

12K claims · 2.0%

Your Cost: $15.07/claim|Median: $24.49
0.6× median
96153Top 25%

Health/behavior intervention, group

$141K

11K claims · 1.5%

Your Cost: $12.81/claim|Median: $6.67
1.9× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$64K

2,159 claims · 0.7%

Your Cost: $29.61/claim|Median: $106.70
0.3× median
92523Normal range

Evaluation of speech sound production with language comprehension

$55K

922 claims · 0.6%

Your Cost: $60.13/claim|Median: $110.87
0.5× median
97530Normal range

Therapeutic activities, each 15 min

$25K

2,380 claims · 0.3%

Your Cost: $10.33/claim|Median: $33.11
0.3× median
96130Normal range

Psychological testing evaluation by professional, first hour

$19K

292 claims · 0.2%

Your Cost: $64.21/claim|Median: $79.21
0.8× median
E1399Normal range

Durable medical equipment, miscellaneous

$3K

26 claims · 0.0%

Your Cost: $128.19/claim|Median: $104.06
1.2× median
H0031Normal range

Mental health assessment by non-physician

$3K

55 claims · 0.0%

Your Cost: $60.49/claim|Median: $96.18
0.6× median