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Provider 1720260417

NPI: 1720260417Share
Active Billing Period:2018-01→2024-11(75 months)

Total Paid

$9.2M

$9,184,882

Total Claims

334K

Beneficiaries

172K

1.9 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-22%
2019
$1.5M
-40%
2020
$927K
+71%
2021
$1.6M
+8%
2022
$1.7M
-39%
2023
$1.0M
-59%
2024
$427K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92508 (Treatment of speech/language disorder, group, 2+ patients)) accounts for 26% of total spending.

92508Top 25%

Treatment of speech/language disorder, group, 2+ patients

$2.3M

100K claims · 25.5%

Your Cost: $23.42/claim|Median: $13.22
1.8× median
92507Normal range

Speech/hearing/language treatment

$2.0M

45K claims · 22.1%

Your Cost: $45.03/claim|Median: $49.45
0.9× median
96131Normal range

Psychological testing evaluation, each additional hour

$1.2M

6,118 claims · 12.8%

Your Cost: $192.79/claim|Median: $133.38
1.4× median
97530Normal range

Therapeutic activities, each 15 min

$1.1M

61K claims · 12.3%

Your Cost: $18.63/claim|Median: $33.11
0.6× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$861K

67K claims · 9.4%

Your Cost: $12.86/claim|Median: $12.12
1.1× median
96101Normal range

$396K

1,846 claims · 4.3%

Your Cost: $214.27/claim|Median: $196.08
1.1× median
96130Normal range

Psychological testing evaluation by professional, first hour

$371K

8,564 claims · 4.0%

Your Cost: $43.36/claim|Median: $79.21
0.5× median
92523Normal range

Evaluation of speech sound production with language comprehension

$231K

3,715 claims · 2.5%

Your Cost: $62.18/claim|Median: $110.87
0.6× median
97110Normal range

Therapeutic exercises, each 15 min

$122K

6,941 claims · 1.3%

Your Cost: $17.53/claim|Median: $24.49
0.7× median
T1002Normal range

RN services, per 15 minutes

$103K

13K claims · 1.1%

Your Cost: $7.96/claim|Median: $37.42
0.2× median
96150Top 25%

Health behavior assessment, initial

$78K

1,512 claims · 0.8%

Your Cost: $51.43/claim|Median: $17.83
2.9× median
97168Normal range

OT re-evaluation

$62K

2,713 claims · 0.7%

Your Cost: $22.99/claim|Median: $50.43
0.5× median
T2003Normal range

Non-emergency transport; encounter/trip

$56K

7,547 claims · 0.6%

Your Cost: $7.36/claim|Median: $21.70
0.3× median
97164Normal range

PT re-evaluation

$42K

1,776 claims · 0.5%

Your Cost: $23.50/claim|Median: $32.66
0.7× median
97166Normal range

OT evaluation, moderate complexity

$36K

884 claims · 0.4%

Your Cost: $41.24/claim|Median: $48.74
0.8× median
97165Normal range

OT evaluation, low complexity

$31K

800 claims · 0.3%

Your Cost: $38.46/claim|Median: $46.78
0.8× median
97116Normal range

Gait training

$24K

1,316 claims · 0.3%

Your Cost: $17.94/claim|Median: $12.48
1.4× median
92609Normal range

$22K

507 claims · 0.2%

Your Cost: $42.98/claim|Median: $59.78
0.7× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$15K

914 claims · 0.2%

Your Cost: $16.24/claim|Median: $20.04
0.8× median
92522Normal range

Evaluation of speech sound production

$12K

328 claims · 0.1%

Your Cost: $36.98/claim|Median: $32.17
1.1× median
97162Normal range

PT evaluation, moderate complexity

$12K

270 claims · 0.1%

Your Cost: $42.72/claim|Median: $46.10
0.9× median
96132Normal range

$5K

138 claims · 0.1%

Your Cost: $35.98/claim|Median: $70.53
0.5× median
97129Normal range

$5K

411 claims · 0.1%

Your Cost: $11.63/claim|Median: $17.39
0.7× median
T1001Normal range

Nursing assessment/evaluation, per visit

$5K

727 claims · 0.1%

Your Cost: $6.35/claim|Median: $49.05
0.1× median
97161Normal range

Physical therapy evaluation, low complexity

$3K

98 claims · 0.0%

Your Cost: $34.24/claim|Median: $47.89
0.7× median
97533Normal range

$3K

136 claims · 0.0%

Your Cost: $23.98/claim|Median: $48.71
0.5× median
97127Normal range

$3K

170 claims · 0.0%

Your Cost: $16.58/claim|Median: $66.78
0.2× median
96133Normal range

$2K

31 claims · 0.0%

Your Cost: $60.63/claim|Median: $185.94
0.3× median
92551Normal range

Screening audiometry, pure tone, air only

$2K

271 claims · 0.0%

Your Cost: $6.72/claim|Median: $6.61
1.0× median
96156Normal range

$323

18 claims · 0.0%

Your Cost: $17.95/claim|Median: $22.36
0.8× median
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