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LOS ANGELES UNIFIED SCHOOL DISTRICT

Social Worker, School·LOS ANGELES, CA·NPI: 1679570980Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$98.0M

$97,957,472

Total Claims

4.0M

Beneficiaries

1.6M

2.5 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$16.0M
+2%
2019
$16.4M
-38%
2020
$10.2M
+9%
2021
$11.1M
+11%
2022
$12.3M
+50%
2023
$18.3M
-26%
2024
$13.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (92508 (Treatment of speech/language disorder, group, 2+ patients)) accounts for 24% of total spending.

92508Normal range

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

$23.1M

1.7M claims · 23.6%

Your Cost: $13.65/claim|Median: $13.22
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$19.9M

478K claims · 20.3%

Your Cost: $41.49/claim|Median: $24.49
1.7× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$11.4M

44K claims · 11.6%

Your Cost: $256.49/claim|Median: $79.21
3.2× median
T2003Normal range

Non-emergency transport; encounter/trip

$8.8M

527K claims · 9.0%

Your Cost: $16.75/claim|Median: $21.70
0.8× median
T1001Normal range

Nursing assessment/evaluation, per visit

$5.5M

76K claims · 5.6%

Your Cost: $72.69/claim|Median: $49.05
1.5× median
96158Top 25%

$4.6M

93K claims · 4.7%

Your Cost: $49.91/claim|Median: $28.43
1.8× median
T1004Normal range

Services of a qualified nursing aide, per 15 minutes

$3.6M

158K claims · 3.7%

Your Cost: $22.91/claim|Median: $50.30
0.5× median
96101Normal range

$3.4M

15K claims · 3.5%

Your Cost: $221.71/claim|Median: $196.08
1.1× median
92507Normal range

Speech/hearing/language treatment

$3.4M

92K claims · 3.4%

Your Cost: $36.63/claim|Median: $49.45
0.7× median
92523Normal range

Evaluation of speech sound production with language comprehension

$2.6M

46K claims · 2.7%

Your Cost: $56.18/claim|Median: $110.87
0.5× median
96152Normal range

Health behavior intervention, individual

$2.5M

75K claims · 2.6%

Your Cost: $33.67/claim|Median: $20.02
1.7× median
97167Top 25%

OT evaluation, high complexity

$1.6M

11K claims · 1.6%

Your Cost: $136.57/claim|Median: $70.96
1.9× median
A0425Normal range

Ground mileage, per statute mile

$1.5M

412K claims · 1.5%

Your Cost: $3.54/claim|Median: $23.36
0.2× median
99384Top 25%

Preventive visit, new patient, adolescent (12-17 yr)

$765K

6,798 claims · 0.8%

Your Cost: $112.48/claim|Median: $83.63
1.3× median
96164Normal range

$737K

67K claims · 0.8%

Your Cost: $10.97/claim|Median: $9.87
1.1× median
99383Top 25%

Preventive visit, new patient, late childhood (5-11 yr)

$634K

6,091 claims · 0.6%

Your Cost: $104.09/claim|Median: $81.92
1.3× median
V5011Normal range

$590K

18K claims · 0.6%

Your Cost: $32.20/claim|Median: $36.19
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$503K

60K claims · 0.5%

Your Cost: $8.42/claim|Median: $6.61
1.3× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$463K

30K claims · 0.5%

Your Cost: $15.18/claim|Median: $12.12
1.3× median
96153Normal range

Health/behavior intervention, group

$442K

55K claims · 0.5%

Your Cost: $8.01/claim|Median: $6.67
1.2× median
97168Top 25%

OT re-evaluation

$372K

3,845 claims · 0.4%

Your Cost: $96.70/claim|Median: $50.43
1.9× median
97163Top 10%

PT evaluation, high complexity

$291K

2,069 claims · 0.3%

Your Cost: $140.48/claim|Median: $50.34
2.8× median
T1003Normal range

LPN/LVN services, per 15 minutes

$221K

9,575 claims · 0.2%

Your Cost: $23.10/claim|Median: $24.24
1.0× median
96159Normal range

$176K

13K claims · 0.2%

Your Cost: $14.05/claim|Median: $20.68
0.7× median
97003Top 25%

$165K

1,394 claims · 0.2%

Your Cost: $118.26/claim|Median: $98.97
1.2× median
99382Top 25%

Preventive visit, new patient, early childhood (1-4 yr)

$112K

1,121 claims · 0.1%

Your Cost: $100.19/claim|Median: $79.89
1.3× median
T1002Normal range

RN services, per 15 minutes

$92K

3,865 claims · 0.1%

Your Cost: $23.83/claim|Median: $37.42
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$72K

864 claims · 0.1%

Your Cost: $83.65/claim|Median: $80.15
1.0× median
99173Normal range

$61K

14K claims · 0.1%

Your Cost: $4.19/claim|Median: $2.16
1.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$53K

728 claims · 0.1%

Your Cost: $73.46/claim|Median: $74.82
1.0× median
97001Top 5%

$49K

384 claims · 0.1%

Your Cost: $128.05/claim|Median: $50.40
2.5× median
97164Top 5%

PT re-evaluation

$40K

401 claims · 0.0%

Your Cost: $100.61/claim|Median: $32.66
3.1× median
97004Top 1%

$40K

470 claims · 0.0%

Your Cost: $84.65/claim|Median: $84.65
1.0× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$19K

174 claims · 0.0%

Your Cost: $109.44/claim|Median: $75.18
1.5× median
83655Normal range

$18K

2,045 claims · 0.0%

Your Cost: $8.79/claim|Median: $10.49
0.8× median
90658Normal range

$17K

2,083 claims · 0.0%

Your Cost: $8.35/claim|Median: $8.96
0.9× median
90715Normal range

Tdap vaccine

$16K

2,059 claims · 0.0%

Your Cost: $7.59/claim|Median: $10.32
0.7× median
90633Normal range

$15K

1,920 claims · 0.0%

Your Cost: $7.71/claim|Median: $3.56
2.2× median
90651Normal range

HPV vaccine, 9-valent

$14K

1,920 claims · 0.0%

Your Cost: $7.41/claim|Median: $8.93
0.8× median
90734Normal range

$14K

1,789 claims · 0.0%

Your Cost: $7.61/claim|Median: $6.40
1.2× median
90716Normal range

$13K

1,666 claims · 0.0%

Your Cost: $7.80/claim|Median: $6.18
1.3× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$11K

4,599 claims · 0.0%

Your Cost: $2.35/claim|Median: $15.54
0.2× median
90713Normal range

Poliovirus vaccine (IPV)

$10K

1,201 claims · 0.0%

Your Cost: $7.93/claim|Median: $5.41
1.5× median
90744Normal range

$7K

851 claims · 0.0%

Your Cost: $7.95/claim|Median: $5.00
1.6× median
85018Normal range

$7K

3,806 claims · 0.0%

Your Cost: $1.72/claim|Median: $1.71
1.0× median
97002Top 1%

$5K

54 claims · 0.0%

Your Cost: $91.25/claim|Median: $54.45
1.7× median
90710Normal range

MMRV vaccine

$4K

560 claims · 0.0%

Your Cost: $7.91/claim|Median: $7.00
1.1× median
90620Normal range

$4K

560 claims · 0.0%

Your Cost: $7.49/claim|Median: $6.49
1.2× median
0519Normal range

$3K

112 claims · 0.0%

Your Cost: $27.45/claim|Median: $87.02
0.3× median
90707Normal range

MMR vaccine

$2K

298 claims · 0.0%

Your Cost: $7.74/claim|Median: $5.76
1.3× median