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Provider 1750698353

NPI: 1750698353Share
Active Billing Period:2019-04→2024-12(69 months)

Total Paid

$12.4M

$12,394,611

Total Claims

189K

Beneficiaries

25K

7.4 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2019
$1.1M
+58%
2020
$1.7M
+34%
2021
$2.3M
+13%
2022
$2.6M
-5%
2023
$2.5M
-18%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (97155 (Adaptive behavior treatment with protocol modification, per 15 minutes)) accounts for 26% of total spending.

97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$3.2M

31K claims · 26.1%

Your Cost: $105.60/claim|Median: $146.45
0.7× median
T1017Normal range

Targeted case management, per 15 min

$2.2M

57K claims · 18.1%

Your Cost: $38.98/claim|Median: $69.56
0.6× median
97530Top 25%

Therapeutic activities, each 15 min

$2.1M

28K claims · 17.3%

Your Cost: $76.08/claim|Median: $33.11
2.3× median
92507Top 25%

Speech/hearing/language treatment

$1.4M

18K claims · 11.2%

Your Cost: $76.56/claim|Median: $49.45
1.5× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.1M

15K claims · 9.1%

Your Cost: $73.48/claim|Median: $24.49
3.0× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$1.0M

27K claims · 8.3%

Your Cost: $38.14/claim|Median: $27.28
1.4× median
97129Top 10%

$805K

10K claims · 6.5%

Your Cost: $79.79/claim|Median: $17.39
4.6× median
96112Top 10%

Developmental test administration

$355K

1,140 claims · 2.9%

Your Cost: $311.03/claim|Median: $102.95
3.0× median
97127Top 25%

$62K

758 claims · 0.5%

Your Cost: $81.41/claim|Median: $66.78
1.2× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$16K

206 claims · 0.1%

Your Cost: $75.75/claim|Median: $84.12
0.9× median
97165Top 5%

OT evaluation, low complexity

$3K

22 claims · 0.0%

Your Cost: $148.19/claim|Median: $46.78
3.2× median
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