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Provider 1740338011

NPI: 1740338011Share
Active Billing Period:2018-012024-12(81 months)

Total Paid

$8.2M

$8,218,005

Total Claims

324K

Beneficiaries

126K

2.6 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+12%
2019
$1.3M
-49%
2020
$667K
+66%
2021
$1.1M
-11%
2022
$978K
+50%
2023
$1.5M
+2%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (92508 (Treatment of speech/language disorder, group, 2+ patients)) accounts for 28% of total spending.

92508Normal range

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

$2.3M

166K claims · 27.9%

Your Cost: $13.83/claim|Median: $13.22
1.0× median
96130Top 10%

Psychological testing evaluation by professional, first hour

$1.9M

6,621 claims · 22.8%

Your Cost: $283.20/claim|Median: $79.21
3.6× median
92507Normal range

Speech/hearing/language treatment

$671K

18K claims · 8.2%

Your Cost: $37.37/claim|Median: $49.45
0.8× median
T1001Normal range

Nursing assessment/evaluation, per visit

$626K

7,960 claims · 7.6%

Your Cost: $78.60/claim|Median: $49.05
1.6× median
T2003Normal range

Non-emergency transport; encounter/trip

$602K

46K claims · 7.3%

Your Cost: $13.10/claim|Median: $21.70
0.6× median
97167Top 25%

OT evaluation, high complexity

$570K

4,678 claims · 6.9%

Your Cost: $121.88/claim|Median: $70.96
1.7× median
96101Normal range

$377K

1,610 claims · 4.6%

Your Cost: $234.37/claim|Median: $196.08
1.2× median
92523Normal range

Evaluation of speech sound production with language comprehension

$276K

5,015 claims · 3.4%

Your Cost: $54.97/claim|Median: $110.87
0.5× median
A0425Normal range

Ground mileage, per statute mile

$194K

46K claims · 2.4%

Your Cost: $4.26/claim|Median: $23.36
0.2× median
92521Normal range

Evaluation of speech fluency

$151K

4,708 claims · 1.8%

Your Cost: $31.97/claim|Median: $31.97
1.0× median
92524Normal range

Behavioral/qualitative analysis of voice

$126K

4,572 claims · 1.5%

Your Cost: $27.48/claim|Median: $29.36
0.9× median
96158Top 25%

$92K

1,904 claims · 1.1%

Your Cost: $48.36/claim|Median: $28.43
1.7× median
T1003Normal range

LPN/LVN services, per 15 minutes

$82K

1,607 claims · 1.0%

Your Cost: $51.20/claim|Median: $24.24
2.1× median
T1004Normal range

Services of a qualified nursing aide, per 15 minutes

$75K

3,213 claims · 0.9%

Your Cost: $23.35/claim|Median: $50.30
0.5× median
97110Normal range

Therapeutic exercises, each 15 min

$70K

2,061 claims · 0.9%

Your Cost: $34.04/claim|Median: $24.49
1.4× median
96152Normal range

Health behavior intervention, individual

$38K

1,029 claims · 0.5%

Your Cost: $37.09/claim|Median: $20.02
1.9× median
97003Top 25%

$35K

307 claims · 0.4%

Your Cost: $114.37/claim|Median: $98.97
1.2× median
97168Top 25%

OT re-evaluation

$18K

182 claims · 0.2%

Your Cost: $100.74/claim|Median: $50.43
2.0× median
97163Top 10%

PT evaluation, high complexity

$16K

127 claims · 0.2%

Your Cost: $125.20/claim|Median: $50.34
2.5× median
96164Normal range

$10K

898 claims · 0.1%

Your Cost: $10.70/claim|Median: $9.87
1.1× median
96153Normal range

Health/behavior intervention, group

$7K

826 claims · 0.1%

Your Cost: $8.07/claim|Median: $6.67
1.2× median
97001Top 10%

$3K

26 claims · 0.0%

Your Cost: $109.78/claim|Median: $50.40
2.2× median
99401Normal range

$2K

196 claims · 0.0%

Your Cost: $11.66/claim|Median: $16.53
0.7× median
92551Normal range

Screening audiometry, pure tone, air only

$2K

215 claims · 0.0%

Your Cost: $8.26/claim|Median: $6.61
1.2× median
99173Top 25%

$2K

352 claims · 0.0%

Your Cost: $4.32/claim|Median: $2.16
2.0× median
T1002Normal range

RN services, per 15 minutes

$1K

57 claims · 0.0%

Your Cost: $26.29/claim|Median: $37.42
0.7× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$513

43 claims · 0.0%

Your Cost: $11.94/claim|Median: $12.12
1.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$278

23 claims · 0.0%

Your Cost: $12.08/claim|Median: $12.63
1.0× median