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Provider 1730137753

NPI: 1730137753Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.6M

$14,590,204

Total Claims

334K

Beneficiaries

122K

2.7 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-6%
2019
$2.1M
-22%
2020
$1.7M
+39%
2021
$2.3M
-10%
2022
$2.1M
+7%
2023
$2.2M
-15%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 48% of total spending.

97110Top 25%

Therapeutic exercises, each 15 min

$7.0M

125K claims · 47.9%

Your Cost: $56.06/claim|Median: $24.49
2.3× median
97530Normal range

Therapeutic activities, each 15 min

$1.0M

32K claims · 7.0%

Your Cost: $31.96/claim|Median: $33.11
1.0× median
97113Normal range

$1.0M

19K claims · 6.9%

Your Cost: $54.24/claim|Median: $51.02
1.1× median
92507Normal range

Speech/hearing/language treatment

$594K

9,089 claims · 4.1%

Your Cost: $65.36/claim|Median: $49.45
1.3× median
97129Top 25%

$539K

7,472 claims · 3.7%

Your Cost: $72.08/claim|Median: $17.39
4.1× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$534K

20K claims · 3.7%

Your Cost: $26.61/claim|Median: $20.04
1.3× median
97010Top 10%

Hot/cold packs application

$520K

16K claims · 3.6%

Your Cost: $33.36/claim|Median: $4.47
7.5× median
97161Normal range

Physical therapy evaluation, low complexity

$361K

5,945 claims · 2.5%

Your Cost: $60.79/claim|Median: $47.89
1.3× median
97162Normal range

PT evaluation, moderate complexity

$361K

6,733 claims · 2.5%

Your Cost: $53.63/claim|Median: $46.10
1.2× median
96116Top 5%

Neurobehavioral status examination, first hour

$356K

799 claims · 2.4%

Your Cost: $445.70/claim|Median: $46.64
9.6× median
G0463Top 25%

Hospital outpatient clinic visit

$342K

5,620 claims · 2.3%

Your Cost: $60.79/claim|Median: $26.41
2.3× median
97116Top 25%

Gait training

$306K

12K claims · 2.1%

Your Cost: $24.49/claim|Median: $12.48
2.0× median
97140Normal range

Manual therapy techniques, per 15 minutes

$287K

34K claims · 2.0%

Your Cost: $8.46/claim|Median: $16.79
0.5× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$259K

542 claims · 1.8%

Your Cost: $477.03/claim|Median: $470.36
1.0× median
97127Top 25%

$248K

2,825 claims · 1.7%

Your Cost: $87.69/claim|Median: $66.78
1.3× median
96132Top 5%

$195K

826 claims · 1.3%

Your Cost: $236.02/claim|Median: $70.53
3.3× median
96118Top 10%

$186K

229 claims · 1.3%

Your Cost: $810.86/claim|Median: $196.66
4.1× median
97163Normal range

PT evaluation, high complexity

$78K

1,904 claims · 0.5%

Your Cost: $40.90/claim|Median: $50.34
0.8× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$71K

15K claims · 0.5%

Your Cost: $4.62/claim|Median: $12.12
0.4× median
90837Normal range

Psychotherapy, 60 minutes

$68K

921 claims · 0.5%

Your Cost: $73.30/claim|Median: $85.66
0.9× median
96125Top 25%

$48K

299 claims · 0.3%

Your Cost: $160.38/claim|Median: $58.22
2.8× median
97542Normal range

Wheelchair management training

$48K

1,298 claims · 0.3%

Your Cost: $36.62/claim|Median: $18.66
2.0× median
97035Top 10%

Ultrasound therapy

$43K

1,480 claims · 0.3%

Your Cost: $28.80/claim|Median: $7.31
3.9× median
99213Normal range

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

$33K

2,048 claims · 0.2%

Your Cost: $16.05/claim|Median: $37.81
0.4× median
97166Normal range

OT evaluation, moderate complexity

$26K

463 claims · 0.2%

Your Cost: $56.79/claim|Median: $48.74
1.2× median
96133Normal range

$23K

816 claims · 0.2%

Your Cost: $28.31/claim|Median: $185.94
0.2× median
97165Normal range

OT evaluation, low complexity

$12K

194 claims · 0.1%

Your Cost: $59.75/claim|Median: $46.78
1.3× median
97130Normal range

$12K

7,210 claims · 0.1%

Your Cost: $1.60/claim|Median: $21.60
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$8K

364 claims · 0.1%

Your Cost: $21.76/claim|Median: $63.65
0.3× median
64642Top 25%

$6K

34 claims · 0.0%

Your Cost: $185.38/claim|Median: $81.85
2.3× median
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