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Provider 1750385308

NPI: 1750385308Share
Active Billing Period:2018-01→2023-03(63 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$13.6M

$13,586,877

Total Claims

275K

Beneficiaries

17K

16.4 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+136%
2019
$2.9M
+129%
2020
$6.5M
-87%
2021
$860K
+93%
2022
$1.7M
-72%
2023
$467K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 32% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$4.4M

83K claims · 32.2%

Your Cost: $52.71/claim|Median: $33.11
1.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$3.5M

68K claims · 25.5%

Your Cost: $50.91/claim|Median: $24.49
2.1× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.5M

34K claims · 10.9%

Your Cost: $44.00/claim|Median: $20.04
2.2× median
97535Top 25%

Self-care/home management training, per 15 minutes

$1.3M

31K claims · 9.4%

Your Cost: $40.87/claim|Median: $18.18
2.2× median
97116Top 25%

Gait training

$1.0M

26K claims · 7.5%

Your Cost: $39.32/claim|Median: $12.48
3.2× median
T2030Normal range

Supported employment, job coaching, waiver, per diem

$550K

994 claims · 4.0%

Your Cost: $553.22/claim|Median: $1,184.47
0.5× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$457K

9,639 claims · 3.4%

Your Cost: $47.36/claim|Median: $16.79
2.8× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$416K

8,948 claims · 3.1%

Your Cost: $46.54/claim|Median: $49.74
0.9× median
92507Normal range

Speech/hearing/language treatment

$277K

7,997 claims · 2.0%

Your Cost: $34.64/claim|Median: $49.45
0.7× median
97542Top 25%

Wheelchair management training

$104K

1,549 claims · 0.8%

Your Cost: $67.41/claim|Median: $18.66
3.6× median
G8978Top 10%

$45K

458 claims · 0.3%

Your Cost: $98.44/claim|Median: $5.17
19.0× median
G8979Top 10%

$41K

547 claims · 0.3%

Your Cost: $75.18/claim|Median: $3.96
19.0× median
97166Normal range

OT evaluation, moderate complexity

$20K

760 claims · 0.1%

Your Cost: $26.07/claim|Median: $48.74
0.5× median
G8988Top 25%

$19K

323 claims · 0.1%

Your Cost: $58.09/claim|Median: $8.81
6.6× median
G8987Top 25%

$15K

273 claims · 0.1%

Your Cost: $54.81/claim|Median: $12.37
4.4× median
97162Normal range

PT evaluation, moderate complexity

$8K

177 claims · 0.1%

Your Cost: $47.38/claim|Median: $46.10
1.0× median
97161Normal range

Physical therapy evaluation, low complexity

$7K

375 claims · 0.1%

Your Cost: $18.59/claim|Median: $47.89
0.4× median
97165Normal range

OT evaluation, low complexity

$3K

57 claims · 0.0%

Your Cost: $44.57/claim|Median: $46.78
1.0× median
G8981Top 25%

$3K

35 claims · 0.0%

Your Cost: $72.42/claim|Median: $13.79
5.3× median
G8982Top 10%

$2K

42 claims · 0.0%

Your Cost: $58.32/claim|Median: $6.66
8.8× median
G8980Top 5%

$705

12 claims · 0.0%

Your Cost: $58.75/claim|Median: $0.84
69.9× median
G0009Normal range

$0

73 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.11
92610Normal range

Evaluation of swallowing function

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.22
G0008Normal range

$0

119 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
0004ANormal range

$0

64 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.62
90670Normal range

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
90688Normal range

$0

129 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
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