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Provider 1720123870

NPI: 1720123870Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.8M

$17,806,200

Total Claims

170K

Beneficiaries

38K

4.5 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+23%
2019
$2.1M
-11%
2020
$1.8M
+26%
2021
$2.3M
+17%
2022
$2.7M
+34%
2023
$3.7M
-4%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (S9128 (Speech therapy, in the home, per diem)) accounts for 27% of total spending.

S9128Normal range

Speech therapy, in the home, per diem

$4.8M

61K claims · 26.7%

Your Cost: $78.17/claim|Median: $72.77
1.1× median
S9129Normal range

OT, in the home, per diem

$3.5M

44K claims · 19.7%

Your Cost: $79.56/claim|Median: $76.61
1.0× median
T1026Top 25%

Waiver services, NOS, per diem

$3.4M

15K claims · 19.2%

Your Cost: $226.18/claim|Median: $146.05
1.5× median
T1025Normal range

Waiver services, NOS, per 15 minutes

$3.4M

14K claims · 19.0%

Your Cost: $242.09/claim|Median: $227.80
1.1× median
S9131Normal range

Physical therapy, in the home, per diem

$1.8M

22K claims · 10.0%

Your Cost: $81.55/claim|Median: $90.35
0.9× median
92507Top 25%

Speech/hearing/language treatment

$464K

6,690 claims · 2.6%

Your Cost: $69.39/claim|Median: $49.45
1.4× median
97530Top 25%

Therapeutic activities, each 15 min

$300K

4,699 claims · 1.7%

Your Cost: $63.92/claim|Median: $33.11
1.9× median
97110Top 25%

Therapeutic exercises, each 15 min

$112K

1,821 claims · 0.6%

Your Cost: $61.41/claim|Median: $24.49
2.5× median
92523Normal range

Evaluation of speech sound production with language comprehension

$46K

610 claims · 0.3%

Your Cost: $74.76/claim|Median: $110.87
0.7× median
97166Normal range

OT evaluation, moderate complexity

$27K

386 claims · 0.2%

Your Cost: $70.82/claim|Median: $48.74
1.5× median
97162Top 25%

PT evaluation, moderate complexity

$9K

125 claims · 0.1%

Your Cost: $74.92/claim|Median: $46.10
1.6× median
97163Normal range

PT evaluation, high complexity

$1K

24 claims · 0.0%

Your Cost: $54.00/claim|Median: $50.34
1.1× median
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