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Provider 1679920490

NPI: 1679920490Share
Active Billing Period:2019-02→2024-12(71 months)

Total Paid

$11.6M

$11,622,195

Total Claims

150K

Beneficiaries

20K

7.5 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2019
$643K
+220%
2020
$2.1M
+27%
2021
$2.6M
-2%
2022
$2.6M
-23%
2023
$2.0M
-9%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 55% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$6.3M

61K claims · 54.6%

Your Cost: $103.79/claim|Median: $167.38
0.6× median
97129Top 10%

$1.7M

22K claims · 15.1%

Your Cost: $81.20/claim|Median: $17.39
4.7× median
T1017Normal range

Targeted case management, per 15 min

$1.3M

32K claims · 11.2%

Your Cost: $40.25/claim|Median: $69.56
0.6× median
92507Top 25%

Speech/hearing/language treatment

$797K

10K claims · 6.9%

Your Cost: $79.39/claim|Median: $49.45
1.6× median
97530Top 25%

Therapeutic activities, each 15 min

$562K

7,283 claims · 4.8%

Your Cost: $77.15/claim|Median: $33.11
2.3× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$560K

14K claims · 4.8%

Your Cost: $40.57/claim|Median: $27.28
1.5× median
97127Top 25%

$173K

2,009 claims · 1.5%

Your Cost: $86.05/claim|Median: $66.78
1.3× median
H2027Normal range

Psychoeducational service, per 15 minutes

$62K

730 claims · 0.5%

Your Cost: $84.77/claim|Median: $82.72
1.0× median
97110Top 10%

Therapeutic exercises, each 15 min

$53K

669 claims · 0.5%

Your Cost: $79.17/claim|Median: $24.49
3.2× median
96112Top 10%

Developmental test administration

$21K

66 claims · 0.2%

Your Cost: $315.02/claim|Median: $102.95
3.1× median
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