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Provider 1679891295

NPI: 1679891295Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,069,982

Total Claims

481K

Beneficiaries

149K

3.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+54%
2019
$2.0M
-24%
2020
$1.5M
+44%
2021
$2.1M
-16%
2022
$1.8M
+22%
2023
$2.2M
+3%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (97150 (Therapeutic procedure, group (2+ patients))) accounts for 35% of total spending.

97150Top 10%

Therapeutic procedure, group (2+ patients)

$4.6M

76K claims · 34.8%

Your Cost: $59.61/claim|Median: $12.12
4.9× median
97110Normal range

Therapeutic exercises, each 15 min

$2.5M

92K claims · 18.9%

Your Cost: $26.85/claim|Median: $24.49
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$2.5M

76K claims · 18.8%

Your Cost: $32.24/claim|Median: $33.11
1.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.7M

74K claims · 12.7%

Your Cost: $22.51/claim|Median: $20.04
1.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$630K

69K claims · 4.8%

Your Cost: $9.20/claim|Median: $16.79
0.5× median
97161Normal range

Physical therapy evaluation, low complexity

$618K

9,893 claims · 4.7%

Your Cost: $62.44/claim|Median: $47.89
1.3× median
97010Normal range

Hot/cold packs application

$223K

55K claims · 1.7%

Your Cost: $4.05/claim|Median: $4.47
0.9× median
92507Normal range

Speech/hearing/language treatment

$181K

2,794 claims · 1.4%

Your Cost: $64.81/claim|Median: $49.45
1.3× median
97162Normal range

PT evaluation, moderate complexity

$111K

2,052 claims · 0.8%

Your Cost: $54.09/claim|Median: $46.10
1.2× median
97014Normal range

Electrical stimulation, unattended

$75K

12K claims · 0.6%

Your Cost: $6.20/claim|Median: $8.83
0.7× median
97116Normal range

Gait training

$38K

2,431 claims · 0.3%

Your Cost: $15.49/claim|Median: $12.48
1.2× median
97164Top 25%

PT re-evaluation

$19K

354 claims · 0.1%

Your Cost: $53.35/claim|Median: $32.66
1.6× median
97535Normal range

Self-care/home management training, per 15 minutes

$14K

646 claims · 0.1%

Your Cost: $22.37/claim|Median: $18.18
1.2× median
G8978Normal range

$7K

1,692 claims · 0.1%

Your Cost: $4.05/claim|Median: $5.17
0.8× median
97165Normal range

OT evaluation, low complexity

$7K

109 claims · 0.1%

Your Cost: $62.23/claim|Median: $46.78
1.3× median
97166Normal range

OT evaluation, moderate complexity

$6K

179 claims · 0.0%

Your Cost: $35.30/claim|Median: $48.74
0.7× median
G8979Normal range

$4K

1,864 claims · 0.0%

Your Cost: $2.21/claim|Median: $3.96
0.6× median
G8984Normal range

$2K

698 claims · 0.0%

Your Cost: $2.73/claim|Median: $0.30
9.1× median
G0283Normal range

$1K

2,877 claims · 0.0%

Your Cost: $0.42/claim|Median: $3.52
0.1× median
G8981Normal range

$1K

231 claims · 0.0%

Your Cost: $4.35/claim|Median: $13.79
0.3× median
97542Normal range

Wheelchair management training

$477

23 claims · 0.0%

Your Cost: $20.73/claim|Median: $18.66
1.1× median
G8985Normal range

$196

754 claims · 0.0%

Your Cost: $0.26/claim|Median: $0.25
1.0× median
G8982Normal range

$172

272 claims · 0.0%

Your Cost: $0.63/claim|Median: $6.66
0.1× median
G8980Normal range

$1

38 claims · 0.0%

Your Cost: $0.03/claim|Median: $0.84
0.0× median
97016Normal range

$0

126 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.30
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