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SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC

Physical Therapist, Hand·EAST MEADOW, NY·NPI: 1770540593Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.4M

$25,379,365

Total Claims

371K

Beneficiaries

132K

2.8 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+46%
2019
$1.6M
+37%
2020
$2.2M
+92%
2021
$4.3M
-15%
2022
$3.6M
+33%
2023
$4.9M
+55%
2024
$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 59% of total spending.

97110Top 10%

Therapeutic exercises, each 15 min

$15.0M

193K claims · 59.2%

Your Cost: $77.69/claim|Median: $24.49
3.2× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$3.7M

95K claims · 14.4%

Your Cost: $38.45/claim|Median: $16.79
2.3× median
97530Top 10%

Therapeutic activities, each 15 min

$2.7M

28K claims · 10.7%

Your Cost: $96.86/claim|Median: $33.11
2.9× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.9M

25K claims · 7.3%

Your Cost: $75.04/claim|Median: $20.04
3.7× median
97161Top 10%

Physical therapy evaluation, low complexity

$1.6M

15K claims · 6.4%

Your Cost: $110.07/claim|Median: $47.89
2.3× median
97162Top 10%

PT evaluation, moderate complexity

$213K

2,073 claims · 0.8%

Your Cost: $102.81/claim|Median: $46.10
2.2× median
97165Top 10%

OT evaluation, low complexity

$119K

976 claims · 0.5%

Your Cost: $122.28/claim|Median: $46.78
2.6× median
97014Top 25%

Electrical stimulation, unattended

$75K

5,563 claims · 0.3%

Your Cost: $13.42/claim|Median: $8.83
1.5× median
97116Normal range

Gait training

$47K

4,192 claims · 0.2%

Your Cost: $11.21/claim|Median: $12.48
0.9× median
97535Normal range

Self-care/home management training, per 15 minutes

$26K

988 claims · 0.1%

Your Cost: $26.10/claim|Median: $18.18
1.4× median
97163Top 10%

PT evaluation, high complexity

$3K

24 claims · 0.0%

Your Cost: $134.07/claim|Median: $50.34
2.7× median
G0283Top 25%

$2K

161 claims · 0.0%

Your Cost: $13.08/claim|Median: $3.52
3.7× median
97166Top 25%

OT evaluation, moderate complexity

$1K

16 claims · 0.0%

Your Cost: $79.71/claim|Median: $48.74
1.6× median
97010Normal range

Hot/cold packs application

$371

64 claims · 0.0%

Your Cost: $5.79/claim|Median: $4.47
1.3× median
99429Normal range

$0

548 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.58

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