Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1790230571

NPI: 1790230571Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$14.2M

$14,201,707

Total Claims

278K

Beneficiaries

118K

2.4 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+26%
2019
$1.6M
+1%
2020
$1.6M
+38%
2021
$2.2M
+13%
2022
$2.5M
+0%
2023
$2.5M
+1%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 25% of total spending.

92507Normal range

Speech/hearing/language treatment

$3.6M

66K claims · 25.4%

Your Cost: $54.41/claim|Median: $49.45
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$3.6M

59K claims · 25.1%

Your Cost: $60.07/claim|Median: $33.11
1.8× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$3.1M

62K claims · 21.8%

Your Cost: $50.13/claim|Median: $20.04
2.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.0M

48K claims · 14.3%

Your Cost: $42.52/claim|Median: $24.49
1.7× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$475K

9,142 claims · 3.3%

Your Cost: $51.91/claim|Median: $49.74
1.0× median
97535Top 25%

Self-care/home management training, per 15 minutes

$474K

14K claims · 3.3%

Your Cost: $33.71/claim|Median: $18.18
1.9× median
92523Normal range

Evaluation of speech sound production with language comprehension

$414K

4,698 claims · 2.9%

Your Cost: $88.17/claim|Median: $110.87
0.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$274K

9,678 claims · 1.9%

Your Cost: $28.28/claim|Median: $16.79
1.7× median
97165Normal range

OT evaluation, low complexity

$76K

1,379 claims · 0.5%

Your Cost: $54.96/claim|Median: $46.78
1.2× median
97166Normal range

OT evaluation, moderate complexity

$66K

1,280 claims · 0.5%

Your Cost: $51.37/claim|Median: $48.74
1.1× median
97162Normal range

PT evaluation, moderate complexity

$56K

1,068 claims · 0.4%

Your Cost: $52.02/claim|Median: $46.10
1.1× median
97161Normal range

Physical therapy evaluation, low complexity

$26K

456 claims · 0.2%

Your Cost: $57.25/claim|Median: $47.89
1.2× median
97116Top 25%

Gait training

$21K

842 claims · 0.1%

Your Cost: $24.63/claim|Median: $12.48
2.0× median
97533Normal range

$20K

586 claims · 0.1%

Your Cost: $33.38/claim|Median: $48.71
0.7× median
92610Normal range

Evaluation of swallowing function

$10K

173 claims · 0.1%

Your Cost: $60.69/claim|Median: $45.22
1.3× median
97113Top 25%

$4K

49 claims · 0.0%

Your Cost: $82.60/claim|Median: $51.02
1.6× median