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Provider 1730399163

NPI: 1730399163Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$15.7M

$15,736,037

Total Claims

298K

Beneficiaries

193K

1.5 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+49%
2019
$2.2M
-29%
2020
$1.6M
+34%
2021
$2.1M
+40%
2022
$3.0M
-1%
2023
$2.9M
-19%
2024
$2.4M

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 23% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$3.7M

91K claims · 23.4%

Your Cost: $40.47/claim|Median: $24.49
1.7× median
99213Top 10%

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

$2.7M

33K claims · 17.4%

Your Cost: $82.10/claim|Median: $37.81
2.2× median
95886Top 5%

$2.3M

11K claims · 14.8%

Your Cost: $205.47/claim|Median: $67.70
3.0× median
97530Normal range

Therapeutic activities, each 15 min

$1.6M

36K claims · 10.0%

Your Cost: $43.87/claim|Median: $33.11
1.3× median
95912Top 25%

$1.3M

5,465 claims · 8.4%

Your Cost: $242.89/claim|Median: $141.23
1.7× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1.1M

50K claims · 6.7%

Your Cost: $21.26/claim|Median: $16.79
1.3× median
95910Top 10%

$991K

5,607 claims · 6.3%

Your Cost: $176.68/claim|Median: $97.13
1.8× median
97161Top 25%

Physical therapy evaluation, low complexity

$560K

7,619 claims · 3.6%

Your Cost: $73.45/claim|Median: $47.89
1.5× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$528K

4,932 claims · 3.4%

Your Cost: $107.10/claim|Median: $57.85
1.9× median
97032Normal range

Electrical stimulation, manual

$283K

23K claims · 1.8%

Your Cost: $12.29/claim|Median: $9.42
1.3× median
97162Top 25%

PT evaluation, moderate complexity

$193K

2,699 claims · 1.2%

Your Cost: $71.35/claim|Median: $46.10
1.5× median
97164Top 25%

PT re-evaluation

$169K

3,213 claims · 1.1%

Your Cost: $52.69/claim|Median: $32.66
1.6× median
G0283Top 25%

$58K

5,339 claims · 0.4%

Your Cost: $10.88/claim|Median: $3.52
3.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$57K

3,088 claims · 0.4%

Your Cost: $18.54/claim|Median: $17.85
1.0× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$42K

345 claims · 0.3%

Your Cost: $122.52/claim|Median: $80.15
1.5× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$38K

1,039 claims · 0.2%

Your Cost: $36.84/claim|Median: $13.30
2.8× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$26K

240 claims · 0.2%

Your Cost: $109.99/claim|Median: $74.82
1.5× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$16K

120 claims · 0.1%

Your Cost: $133.34/claim|Median: $84.03
1.6× median
95911Top 10%

$13K

53 claims · 0.1%

Your Cost: $241.12/claim|Median: $122.86
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$10K

234 claims · 0.1%

Your Cost: $42.56/claim|Median: $25.06
1.7× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$9K

760 claims · 0.1%

Your Cost: $11.35/claim|Median: $12.70
0.9× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$8K

153 claims · 0.0%

Your Cost: $50.95/claim|Median: $29.03
1.8× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$5K

39 claims · 0.0%

Your Cost: $127.88/claim|Median: $72.71
1.8× median
G8510Top 25%

$4K

380 claims · 0.0%

Your Cost: $11.07/claim|Median: $1.96
5.6× median
J1030Top 25%

Injection, methylprednisolone acetate, forty milligrams

$3K

324 claims · 0.0%

Your Cost: $9.76/claim|Median: $4.38
2.2× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$3K

28 claims · 0.0%

Your Cost: $109.25/claim|Median: $75.18
1.5× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$2K

699 claims · 0.0%

Your Cost: $3.41/claim|Median: $2.91
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

1,041 claims · 0.0%

Your Cost: $1.69/claim|Median: $7.18
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$1K

230 claims · 0.0%

Your Cost: $5.48/claim|Median: $3.67
1.5× median
J1020Normal range

$798

174 claims · 0.0%

Your Cost: $4.59/claim|Median: $2.63
1.7× median
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