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THE SPAULDING REHABILITATION HOSPITAL CORPORATION

Rehabilitation Hospital·CHARLESTOWN, MA·NPI: 1780600825Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$54.9M

$54,940,196

Total Claims

653K

Beneficiaries

306K

2.1 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$5.4M
+14%
2019
$6.2M
-17%
2020
$5.1M
+55%
2021
$8.0M
+15%
2022
$9.2M
+15%
2023
$10.5M
+0%
2024
$10.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 26% of total spending.

97110Top 25%

Therapeutic exercises, each 15 min

$14.4M

221K claims · 26.2%

Your Cost: $65.15/claim|Median: $24.49
2.7× median
92507Top 1%

Speech/hearing/language treatment

$9.9M

60K claims · 18.0%

Your Cost: $164.22/claim|Median: $49.45
3.3× median
97530Top 10%

Therapeutic activities, each 15 min

$7.3M

81K claims · 13.3%

Your Cost: $90.00/claim|Median: $33.11
2.7× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$4.5M

99K claims · 8.2%

Your Cost: $45.36/claim|Median: $16.79
2.7× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$4.2M

4,676 claims · 7.6%

Your Cost: $892.66/claim|Median: $470.36
1.9× median
97162Top 5%

PT evaluation, moderate complexity

$3.2M

24K claims · 5.9%

Your Cost: $135.32/claim|Median: $46.10
2.9× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$2.5M

39K claims · 4.5%

Your Cost: $63.99/claim|Median: $20.04
3.2× median
97116Top 10%

Gait training

$998K

19K claims · 1.8%

Your Cost: $52.45/claim|Median: $12.48
4.2× median
99211Top 10%

Office/outpatient visit, minimal complexity

$993K

15K claims · 1.8%

Your Cost: $64.25/claim|Median: $12.93
5.0× median
97163Top 5%

PT evaluation, high complexity

$988K

5,793 claims · 1.8%

Your Cost: $170.61/claim|Median: $50.34
3.4× median
92523Top 10%

Evaluation of speech sound production with language comprehension

$776K

3,700 claims · 1.4%

Your Cost: $209.86/claim|Median: $110.87
1.9× median
97167Top 5%

OT evaluation, high complexity

$661K

2,803 claims · 1.2%

Your Cost: $235.94/claim|Median: $70.96
3.3× median
97166Top 5%

OT evaluation, moderate complexity

$575K

3,615 claims · 1.0%

Your Cost: $159.20/claim|Median: $48.74
3.3× median
97113Top 25%

$483K

5,956 claims · 0.9%

Your Cost: $81.10/claim|Median: $51.02
1.6× median
97161Top 25%

Physical therapy evaluation, low complexity

$386K

4,866 claims · 0.7%

Your Cost: $79.43/claim|Median: $47.89
1.7× median
92526Top 10%

Treatment of swallowing dysfunction and/or oral function

$327K

3,169 claims · 0.6%

Your Cost: $103.10/claim|Median: $49.74
2.1× median
64644Normal range

$279K

2,266 claims · 0.5%

Your Cost: $122.91/claim|Median: $54.92
2.2× median
62323Top 5%

Epidural injection of diagnostic or therapeutic substance, lumbar

$278K

552 claims · 0.5%

Your Cost: $503.76/claim|Median: $111.02
4.5× median
97535Top 25%

Self-care/home management training, per 15 minutes

$263K

4,537 claims · 0.5%

Your Cost: $58.06/claim|Median: $18.18
3.2× median
64642Normal range

$252K

1,796 claims · 0.5%

Your Cost: $140.52/claim|Median: $81.85
1.7× median
G0283Top 5%

$215K

4,976 claims · 0.4%

Your Cost: $43.17/claim|Median: $3.52
12.3× median
92609Top 5%

$205K

1,071 claims · 0.4%

Your Cost: $191.78/claim|Median: $59.78
3.2× median
J0475Normal range

Injection, baclofen, ten milligrams

$203K

742 claims · 0.4%

Your Cost: $273.35/claim|Median: $384.42
0.7× median
20553Top 25%

$198K

2,975 claims · 0.4%

Your Cost: $66.61/claim|Median: $29.47
2.3× median
92588Top 5%

Vestibular evoked myogenic potential testing, each side

$149K

739 claims · 0.3%

Your Cost: $201.32/claim|Median: $31.08
6.5× median
G0463Normal range

Hospital outpatient clinic visit

$135K

14K claims · 0.2%

Your Cost: $9.79/claim|Median: $26.41
0.4× median
64643Normal range

$135K

2,093 claims · 0.2%

Your Cost: $64.29/claim|Median: $58.21
1.1× median
97763Normal range

$75K

1,710 claims · 0.1%

Your Cost: $43.96/claim|Median: $34.99
1.3× median
92567Top 5%

$51K

1,210 claims · 0.1%

Your Cost: $41.90/claim|Median: $11.50
3.6× median
62370Top 25%

$46K

642 claims · 0.1%

Your Cost: $71.79/claim|Median: $30.01
2.4× median
97760Top 25%

$44K

724 claims · 0.1%

Your Cost: $60.74/claim|Median: $30.29
2.0× median
97035Top 10%

Ultrasound therapy

$44K

1,148 claims · 0.1%

Your Cost: $38.19/claim|Median: $7.31
5.2× median
95874Normal range

$25K

1,339 claims · 0.0%

Your Cost: $18.53/claim|Median: $11.29
1.6× median
97810Normal range

$25K

1,448 claims · 0.0%

Your Cost: $17.08/claim|Median: $23.92
0.7× median
97811Normal range

$20K

1,415 claims · 0.0%

Your Cost: $14.03/claim|Median: $19.71
0.7× median
64645Normal range

$20K

392 claims · 0.0%

Your Cost: $50.16/claim|Median: $48.30
1.0× median
95873Normal range

$18K

809 claims · 0.0%

Your Cost: $22.68/claim|Median: $14.19
1.6× median
92579Top 10%

$17K

161 claims · 0.0%

Your Cost: $104.56/claim|Median: $30.58
3.4× median
92610Top 5%

Evaluation of swallowing function

$17K

80 claims · 0.0%

Your Cost: $207.70/claim|Median: $45.22
4.6× median
64483Top 25%

$13K

45 claims · 0.0%

Your Cost: $284.37/claim|Median: $124.24
2.3× median
92582Top 10%

$12K

113 claims · 0.0%

Your Cost: $103.61/claim|Median: $46.66
2.2× median
92555Top 5%

$11K

163 claims · 0.0%

Your Cost: $69.03/claim|Median: $14.17
4.9× median
64493Normal range

$11K

75 claims · 0.0%

Your Cost: $150.01/claim|Median: $103.44
1.5× median
J1030Top 10%

Injection, methylprednisolone acetate, forty milligrams

$10K

928 claims · 0.0%

Your Cost: $10.35/claim|Median: $4.38
2.4× median
L3808Normal range

$8K

42 claims · 0.0%

Your Cost: $201.76/claim|Median: $184.78
1.1× median
92607Top 25%

$7K

31 claims · 0.0%

Your Cost: $238.04/claim|Median: $89.89
2.6× median
97165Top 25%

OT evaluation, low complexity

$5K

52 claims · 0.0%

Your Cost: $93.17/claim|Median: $46.78
2.0× median
64494Top 10%

$4K

27 claims · 0.0%

Your Cost: $141.27/claim|Median: $34.70
4.1× median
Q3014Normal range

Telehealth originating site facility fee

$3K

513 claims · 0.0%

Your Cost: $6.06/claim|Median: $15.37
0.4× median
L3913Normal range

$2K

13 claims · 0.0%

Your Cost: $180.53/claim|Median: $138.71
1.3× median

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