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BALTIMORE CITY SCHOOLS

Local Education Agency (LEA)·BALTIMORE, MD·NPI: 1740586205Share

Compared to Local Education Agency (LEA) Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $95.9M is at the 50th percentile among 12 Local Education Agency (LEA) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$95.9M

$95,866,714

Total Claims

1.4M

Beneficiaries

641K

2.2 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$25.2M
-27%
2019
$18.4M
-36%
2020
$11.8M
-11%
2021
$10.4M
-3%
2022
$10.1M
-2%
2023
$10.0M
+0%
2024
$10.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 54% of total spending.

T2022Normal range

Case management, per month

$52.0M

446K claims · 54.2%

Your Cost: $116.48/claim|Median: $202.77
0.6× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$17.6M

95K claims · 18.3%

Your Cost: $184.71/claim|Median: $106.70
1.7× median
92508Normal range

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

$8.0M

401K claims · 8.3%

Your Cost: $19.91/claim|Median: $13.22
1.5× median
90832Normal range

Psychotherapy, 30 minutes

$4.6M

168K claims · 4.8%

Your Cost: $27.51/claim|Median: $41.28
0.7× median
96159Top 1%

$3.1M

11K claims · 3.2%

Your Cost: $285.86/claim|Median: $20.68
13.8× median
92507Normal range

Speech/hearing/language treatment

$2.5M

72K claims · 2.6%

Your Cost: $35.18/claim|Median: $49.45
0.7× median
96152Top 10%

Health behavior intervention, individual

$2.4M

19K claims · 2.5%

Your Cost: $124.65/claim|Median: $20.02
6.2× median
97530Normal range

Therapeutic activities, each 15 min

$2.4M

72K claims · 2.5%

Your Cost: $33.52/claim|Median: $33.11
1.0× median
90853Normal range

Group psychotherapy

$752K

35K claims · 0.8%

Your Cost: $21.46/claim|Median: $25.02
0.9× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$584K

46K claims · 0.6%

Your Cost: $12.57/claim|Median: $12.12
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$479K

12K claims · 0.5%

Your Cost: $39.15/claim|Median: $24.49
1.6× median
W9323Normal range

$402K

3,743 claims · 0.4%

Your Cost: $107.52/claim|Median: $143.20
0.8× median
T2003Normal range

Non-emergency transport; encounter/trip

$381K

18K claims · 0.4%

Your Cost: $20.72/claim|Median: $21.70
1.0× median
92523Normal range

Evaluation of speech sound production with language comprehension

$336K

6,551 claims · 0.4%

Your Cost: $51.32/claim|Median: $110.87
0.5× median
96158Normal range

$262K

11K claims · 0.3%

Your Cost: $24.75/claim|Median: $28.43
0.9× median
92593Normal range

$84K

2,311 claims · 0.1%

Your Cost: $36.17/claim|Median: $24.63
1.5× median
92592Top 25%

$43K

1,135 claims · 0.0%

Your Cost: $37.45/claim|Median: $15.16
2.5× median
92522Normal range

Evaluation of speech sound production

$17K

347 claims · 0.0%

Your Cost: $48.41/claim|Median: $32.17
1.5× median
97166Normal range

OT evaluation, moderate complexity

$14K

322 claims · 0.0%

Your Cost: $43.29/claim|Median: $48.74
0.9× median
96101Normal range

$6K

74 claims · 0.0%

Your Cost: $75.59/claim|Median: $196.08
0.4× median
W9324Normal range

$5K

19 claims · 0.0%

Your Cost: $260.53/claim|Median: $269.26
1.0× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$2K

89 claims · 0.0%

Your Cost: $27.14/claim|Median: $27.28
1.0× median
97165Top 25%

OT evaluation, low complexity

$804

12 claims · 0.0%

Your Cost: $67.01/claim|Median: $46.78
1.4× median