Is BLYTHEDALE CHILDREN'S HOSPITAL flagged for Medicaid fraud?

BLYTHEDALE CHILDREN'S HOSPITAL (NPI: 1679573083) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does BLYTHEDALE CHILDREN'S HOSPITAL bill Medicaid?

BLYTHEDALE CHILDREN'S HOSPITAL received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Rehabilitation Hospital, Children provider. Located in VALHALLA, NY.

What is NPI 1679573083?

NPI 1679573083 is the National Provider Identifier for BLYTHEDALE CHILDREN'S HOSPITAL. They are a Rehabilitation Hospital, Children provider based in VALHALLA, NY. This NPI is registered with the CMS NPI Registry.

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BLYTHEDALE CHILDREN'S HOSPITAL

Rehabilitation Hospital, Children·VALHALLA, NY·NPI: 1679573083Share

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$44.4M

$44,415,253

Total Claims

306K

Beneficiaries

21K

14.5 claims/patient

Avg Cost/Claim

$145

Monthly Spending Trend

Yearly Spending

2018

$7.2M

+14%

2019

$8.2M

-38%

2020

$5.1M

+43%

2021

$7.3M

+9%

2022

$8.0M

+8%

2023

$8.6M

-99%

2024

$78K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 44% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

97110Therapeutic exercises, each 15 minSee all providers →

$19.5M

157K claims

$124.01

$24.49

5.1×

Top 5%

97110Top 5%

Therapeutic exercises, each 15 min

$19.5M

157K claims · 43.9%

Your Cost: $124.01/claim|Median: $24.49

5.1× median

97530Therapeutic activities, each 15 minSee all providers →

$12.6M

74K claims

$171.42

$33.11

5.2×

Top 1%

97530Top 1%

Therapeutic activities, each 15 min

$12.6M

74K claims · 28.5%

Your Cost: $171.42/claim|Median: $33.11

5.2× median

92507Speech/hearing/language treatmentSee all providers →

$5.9M

30K claims

$197.33

$49.45

4.0×

Top 1%

92507Top 1%

Speech/hearing/language treatment

$5.9M

30K claims · 13.2%

Your Cost: $197.33/claim|Median: $49.45

4.0× median

92526Treatment of swallowing dysfunction and/or oral functionSee all providers →

$2.7M

12K claims

$219.45

$49.74

4.4×

Top 1%

92526Top 1%

Treatment of swallowing dysfunction and/or oral function

$2.7M

12K claims · 6.1%

Your Cost: $219.45/claim|Median: $49.74

4.4× median

97112Therapeutic procedure, neuromuscular reeducation, per 15 minutesSee all providers →

$2.3M

20K claims

$117.43

$20.04

5.9×

Top 1%

97112Top 1%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$2.3M

20K claims · 5.2%

Your Cost: $117.43/claim|Median: $20.04

5.9× median

97116Gait trainingSee all providers →

$900K

6,237 claims

$144.25

$12.48

11.6×

Top 1%

97116Top 1%

Gait training

$900K

6,237 claims · 2.0%

Your Cost: $144.25/claim|Median: $12.48

11.6× median

99211Office/outpatient visit, minimal complexitySee all providers →

$482K

7,232 claims

$66.68

$12.93

5.2×

Top 10%

99211Top 10%

Office/outpatient visit, minimal complexity

$482K

7,232 claims · 1.1%

Your Cost: $66.68/claim|Median: $12.93

5.2× median

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