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Provider 1730133463

NPI: 1730133463Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.7M

$9,714,533

Total Claims

275K

Beneficiaries

132K

2.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+32%
2019
$1.4M
-10%
2020
$1.2M
+29%
2021
$1.6M
-14%
2022
$1.4M
+14%
2023
$1.6M
-4%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 20% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$2.0M

67K claims · 20.1%

Your Cost: $29.34/claim|Median: $33.11
0.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.4M

58K claims · 14.1%

Your Cost: $23.47/claim|Median: $20.04
1.2× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$922K

1,344 claims · 9.5%

Your Cost: $685.72/claim|Median: $470.36
1.5× median
G0463Top 25%

Hospital outpatient clinic visit

$881K

15K claims · 9.1%

Your Cost: $58.63/claim|Median: $26.41
2.2× median
97110Normal range

Therapeutic exercises, each 15 min

$758K

45K claims · 7.8%

Your Cost: $16.84/claim|Median: $24.49
0.7× median
J0475Normal range

Injection, baclofen, ten milligrams

$614K

1,530 claims · 6.3%

Your Cost: $401.41/claim|Median: $384.42
1.0× median
92507Normal range

Speech/hearing/language treatment

$603K

16K claims · 6.2%

Your Cost: $38.17/claim|Median: $49.45
0.8× median
97162Normal range

PT evaluation, moderate complexity

$287K

6,617 claims · 3.0%

Your Cost: $43.41/claim|Median: $46.10
0.9× median
97140Normal range

Manual therapy techniques, per 15 minutes

$240K

18K claims · 2.5%

Your Cost: $13.57/claim|Median: $16.79
0.8× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$204K

4,839 claims · 2.1%

Your Cost: $42.12/claim|Median: $49.74
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$182K

3,305 claims · 1.9%

Your Cost: $55.20/claim|Median: $85.66
0.6× median
62369Top 25%

$168K

1,431 claims · 1.7%

Your Cost: $117.53/claim|Median: $29.13
4.0× median
92523Normal range

Evaluation of speech sound production with language comprehension

$155K

1,365 claims · 1.6%

Your Cost: $113.27/claim|Median: $110.87
1.0× median
97166Normal range

OT evaluation, moderate complexity

$154K

3,357 claims · 1.6%

Your Cost: $45.84/claim|Median: $48.74
0.9× median
97161Normal range

Physical therapy evaluation, low complexity

$140K

3,263 claims · 1.4%

Your Cost: $42.80/claim|Median: $47.89
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$139K

2,271 claims · 1.4%

Your Cost: $61.28/claim|Median: $99.21
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$118K

2,989 claims · 1.2%

Your Cost: $39.48/claim|Median: $63.65
0.6× median
97542Normal range

Wheelchair management training

$98K

2,533 claims · 1.0%

Your Cost: $38.87/claim|Median: $18.66
2.1× median
97167Normal range

OT evaluation, high complexity

$94K

2,036 claims · 1.0%

Your Cost: $46.19/claim|Median: $70.96
0.7× median
64642Top 25%

$86K

319 claims · 0.9%

Your Cost: $268.33/claim|Median: $81.85
3.3× median
97163Normal range

PT evaluation, high complexity

$76K

1,747 claims · 0.8%

Your Cost: $43.57/claim|Median: $50.34
0.9× median
97116Normal range

Gait training

$70K

4,864 claims · 0.7%

Your Cost: $14.48/claim|Median: $12.48
1.2× median
97165Normal range

OT evaluation, low complexity

$56K

1,266 claims · 0.6%

Your Cost: $44.17/claim|Median: $46.78
0.9× median
97535Normal range

Self-care/home management training, per 15 minutes

$50K

2,231 claims · 0.5%

Your Cost: $22.53/claim|Median: $18.18
1.2× median
96118Normal range

$40K

378 claims · 0.4%

Your Cost: $105.00/claim|Median: $196.66
0.5× median
97763Normal range

$33K

862 claims · 0.3%

Your Cost: $38.40/claim|Median: $34.99
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$32K

1,143 claims · 0.3%

Your Cost: $28.28/claim|Median: $41.28
0.7× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$30K

872 claims · 0.3%

Your Cost: $34.75/claim|Median: $53.41
0.7× median
92610Normal range

Evaluation of swallowing function

$30K

707 claims · 0.3%

Your Cost: $42.76/claim|Median: $45.22
0.9× median
96116Normal range

Neurobehavioral status examination, first hour

$22K

373 claims · 0.2%

Your Cost: $58.10/claim|Median: $46.64
1.2× median
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