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Provider 1679098628

NPI: 1679098628Share
Active Billing Period:2018-05→2024-12(80 months)

Total Paid

$10.2M

$10,236,273

Total Claims

327K

Beneficiaries

149K

2.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$410K
+203%
2019
$1.2M
+50%
2020
$1.9M
+24%
2021
$2.3M
-13%
2022
$2.0M
-17%
2023
$1.7M
-56%
2024
$732K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 31% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$3.1M

79K claims · 30.5%

Your Cost: $39.68/claim|Median: $33.11
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$2.7M

93K claims · 26.7%

Your Cost: $29.36/claim|Median: $24.49
1.2× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.6M

49K claims · 15.2%

Your Cost: $31.95/claim|Median: $20.04
1.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1.0M

46K claims · 10.0%

Your Cost: $22.56/claim|Median: $16.79
1.3× median
92507Normal range

Speech/hearing/language treatment

$783K

22K claims · 7.6%

Your Cost: $35.20/claim|Median: $49.45
0.7× median
97535Normal range

Self-care/home management training, per 15 minutes

$229K

9,685 claims · 2.2%

Your Cost: $23.61/claim|Median: $18.18
1.3× median
97164Normal range

PT re-evaluation

$219K

5,396 claims · 2.1%

Your Cost: $40.59/claim|Median: $32.66
1.2× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$155K

13K claims · 1.5%

Your Cost: $12.18/claim|Median: $12.12
1.0× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$115K

1,805 claims · 1.1%

Your Cost: $63.91/claim|Median: $49.74
1.3× median
92523Normal range

Evaluation of speech sound production with language comprehension

$93K

628 claims · 0.9%

Your Cost: $147.34/claim|Median: $110.87
1.3× median
97162Top 25%

PT evaluation, moderate complexity

$42K

631 claims · 0.4%

Your Cost: $66.00/claim|Median: $46.10
1.4× median
97161Top 25%

Physical therapy evaluation, low complexity

$39K

589 claims · 0.4%

Your Cost: $66.49/claim|Median: $47.89
1.4× median
97168Normal range

OT re-evaluation

$32K

810 claims · 0.3%

Your Cost: $38.90/claim|Median: $50.43
0.8× median
97014Normal range

Electrical stimulation, unattended

$30K

2,809 claims · 0.3%

Your Cost: $10.64/claim|Median: $8.83
1.2× median
97113Normal range

$16K

281 claims · 0.2%

Your Cost: $58.26/claim|Median: $51.02
1.1× median
97165Top 25%

OT evaluation, low complexity

$14K

165 claims · 0.1%

Your Cost: $82.41/claim|Median: $46.78
1.8× median
97116Normal range

Gait training

$13K

662 claims · 0.1%

Your Cost: $19.89/claim|Median: $12.48
1.6× median
97022Top 25%

$6K

478 claims · 0.1%

Your Cost: $12.53/claim|Median: $8.28
1.5× median
97166Normal range

OT evaluation, moderate complexity

$4K

65 claims · 0.0%

Your Cost: $69.17/claim|Median: $48.74
1.4× median
97167Normal range

OT evaluation, high complexity

$4K

78 claims · 0.0%

Your Cost: $55.65/claim|Median: $70.96
0.8× median
G0283Normal range

$1K

207 claims · 0.0%

Your Cost: $5.26/claim|Median: $3.52
1.5× median
97018Normal range

Paraffin bath therapy

$915

261 claims · 0.0%

Your Cost: $3.51/claim|Median: $5.30
0.7× median
97032Normal range

Electrical stimulation, manual

$119

28 claims · 0.0%

Your Cost: $4.23/claim|Median: $9.42
0.4× median
97010Normal range

Hot/cold packs application

$0

1,707 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.47
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