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Unknown Provider 1699821868

NPI: 1699821868Share
Active Billing Period:2018-05→2024-08(74 months)

Total Paid

$23.8M

$23,785,628

Total Claims

394K

Beneficiaries

71K

5.5 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$19K
+10655%
2019
$2.0M
+146%
2020
$4.9M
+5%
2021
$5.1M
-12%
2022
$4.5M
+3%
2023
$4.6M
-45%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2014 (Skills training & development, per 15 min)) accounts for 23% of total spending.

H2014Normal range

Skills training & development, per 15 min

$5.5M

54K claims · 23.2%

Your Cost: $102.53/claim|Median: $83.88
1.2× median
T1017Normal range

Targeted case management, per 15 min

$5.4M

149K claims · 22.8%

Your Cost: $36.33/claim|Median: $69.56
0.5× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$2.9M

85K claims · 12.0%

Your Cost: $33.76/claim|Median: $27.28
1.2× median
92507Top 25%

Speech/hearing/language treatment

$2.8M

35K claims · 11.7%

Your Cost: $78.31/claim|Median: $49.45
1.6× median
H2027Normal range

Psychoeducational service, per 15 minutes

$2.1M

27K claims · 9.0%

Your Cost: $79.75/claim|Median: $82.72
1.0× median
96112Top 10%

Developmental test administration

$2.0M

5,951 claims · 8.3%

Your Cost: $333.22/claim|Median: $102.95
3.2× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.2M

15K claims · 5.0%

Your Cost: $78.58/claim|Median: $24.49
3.2× median
97530Top 25%

Therapeutic activities, each 15 min

$548K

7,032 claims · 2.3%

Your Cost: $77.93/claim|Median: $33.11
2.4× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$399K

5,128 claims · 1.7%

Your Cost: $77.89/claim|Median: $20.04
3.9× median
T1027Top 25%

Family training and counseling, per 15 minutes

$358K

3,502 claims · 1.5%

Your Cost: $102.15/claim|Median: $53.00
1.9× median
97116Top 5%

Gait training

$322K

4,194 claims · 1.4%

Your Cost: $76.84/claim|Median: $12.48
6.2× median
97533Top 25%

$129K

1,652 claims · 0.5%

Your Cost: $78.04/claim|Median: $48.71
1.6× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$103K

662 claims · 0.4%

Your Cost: $155.72/claim|Median: $79.21
2.0× median
97165Top 5%

OT evaluation, low complexity

$16K

92 claims · 0.1%

Your Cost: $175.54/claim|Median: $46.78
3.8× median
97167Top 10%

OT evaluation, high complexity

$10K

61 claims · 0.0%

Your Cost: $163.39/claim|Median: $70.96
2.3× median
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