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GRACE REHABILITATION CENTER, INC.

Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)·LA FOLLETTE, TN·NPI: 1659485936Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.7M

$26,651,319

Total Claims

633K

Beneficiaries

189K

3.4 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$3.5M
+4%
2019
$3.7M
-33%
2020
$2.4M
+58%
2021
$3.9M
+10%
2022
$4.2M
+10%
2023
$4.6M
-7%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 59% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$15.7M

346K claims · 58.8%

Your Cost: $45.21/claim|Median: $33.11
1.4× median
97110Normal range

Therapeutic exercises, each 15 min

$5.7M

143K claims · 21.4%

Your Cost: $39.83/claim|Median: $24.49
1.6× median
92507Normal range

Speech/hearing/language treatment

$4.0M

97K claims · 15.1%

Your Cost: $41.27/claim|Median: $49.45
0.8× median
97164Normal range

PT re-evaluation

$514K

14K claims · 1.9%

Your Cost: $36.79/claim|Median: $32.66
1.1× median
97168Normal range

OT re-evaluation

$290K

7,899 claims · 1.1%

Your Cost: $36.75/claim|Median: $50.43
0.7× median
97140Normal range

Manual therapy techniques, per 15 minutes

$102K

8,101 claims · 0.4%

Your Cost: $12.56/claim|Median: $16.79
0.7× median
97166Normal range

OT evaluation, moderate complexity

$76K

1,452 claims · 0.3%

Your Cost: $52.07/claim|Median: $48.74
1.1× median
97161Normal range

Physical therapy evaluation, low complexity

$63K

1,705 claims · 0.2%

Your Cost: $37.15/claim|Median: $47.89
0.8× median
97163Normal range

PT evaluation, high complexity

$56K

1,091 claims · 0.2%

Your Cost: $51.22/claim|Median: $50.34
1.0× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$52K

1,262 claims · 0.2%

Your Cost: $41.44/claim|Median: $49.74
0.8× median
97113Normal range

$37K

1,417 claims · 0.1%

Your Cost: $25.94/claim|Median: $51.02
0.5× median
92523Normal range

Evaluation of speech sound production with language comprehension

$30K

281 claims · 0.1%

Your Cost: $105.45/claim|Median: $110.87
1.0× median
97162Normal range

PT evaluation, moderate complexity

$24K

681 claims · 0.1%

Your Cost: $35.75/claim|Median: $46.10
0.8× median
G0283Top 25%

$15K

1,538 claims · 0.1%

Your Cost: $9.96/claim|Median: $3.52
2.8× median
92522Normal range

Evaluation of speech sound production

$6K

103 claims · 0.0%

Your Cost: $61.51/claim|Median: $32.17
1.9× median
97165Normal range

OT evaluation, low complexity

$1K

26 claims · 0.0%

Your Cost: $53.73/claim|Median: $46.78
1.1× median
92508Top 25%

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

$1K

51 claims · 0.0%

Your Cost: $22.33/claim|Median: $13.22
1.7× median
97010Normal range

Hot/cold packs application

$518

6,338 claims · 0.0%

Your Cost: $0.08/claim|Median: $4.47
0.0× median

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