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Provider 1699966341

NPI: 1699966341Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.3M

$9,272,500

Total Claims

118K

Beneficiaries

13K

8.7 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-6%
2019
$1.4M
-31%
2020
$937K
+18%
2021
$1.1M
+30%
2022
$1.4M
+12%
2023
$1.6M
-15%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 46% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$4.2M

42K claims · 45.7%

Your Cost: $101.80/claim|Median: $167.38
0.6× median
97530Top 25%

Therapeutic activities, each 15 min

$1.7M

24K claims · 17.9%

Your Cost: $68.88/claim|Median: $33.11
2.1× median
92507Top 25%

Speech/hearing/language treatment

$1.3M

19K claims · 14.4%

Your Cost: $72.05/claim|Median: $49.45
1.5× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$758K

6,966 claims · 8.2%

Your Cost: $108.88/claim|Median: $146.45
0.7× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$587K

6,378 claims · 6.3%

Your Cost: $92.07/claim|Median: $106.05
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$268K

7,836 claims · 2.9%

Your Cost: $34.26/claim|Median: $24.49
1.4× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$147K

5,059 claims · 1.6%

Your Cost: $29.00/claim|Median: $20.04
1.4× median
0369TNormal range

$84K

958 claims · 0.9%

Your Cost: $88.17/claim|Median: $102.36
0.9× median
0364TNormal range

$83K

3,069 claims · 0.9%

Your Cost: $26.89/claim|Median: $21.31
1.3× median
0368TNormal range

$75K

1,312 claims · 0.8%

Your Cost: $57.55/claim|Median: $44.63
1.3× median
97156Normal range

$10K

119 claims · 0.1%

Your Cost: $87.47/claim|Median: $88.65
1.0× median
0366TNormal range

$10K

1,258 claims · 0.1%

Your Cost: $7.83/claim|Median: $10.37
0.8× median
0370TNormal range

$4K

38 claims · 0.0%

Your Cost: $114.34/claim|Median: $88.49
1.3× median
0367TNormal range

$2K

272 claims · 0.0%

Your Cost: $7.95/claim|Median: $50.31
0.2× median
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