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ABILITY BUILDERS FOR CHILDREN, LLC

Early Intervention Provider Agency·BRONX, NY·NPI: 1790943066Share

Compared to Early Intervention Provider Agency Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.5M is at the 25th percentile among 14 Early Intervention Provider Agency providers.

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

Total Paid

$22.5M

$22,500,316

Total Claims

311K

Beneficiaries

56K

5.6 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2019
$2.3M
+71%
2020
$4.0M
+11%
2021
$4.4M
+5%
2022
$4.7M
-17%
2023
$3.9M
-19%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 20% of total spending.

92507Top 25%

Speech/hearing/language treatment

$4.5M

57K claims · 19.9%

Your Cost: $78.76/claim|Median: $49.45
1.6× median
H2014Normal range

Skills training & development, per 15 min

$3.4M

37K claims · 15.0%

Your Cost: $91.23/claim|Median: $83.88
1.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$3.0M

38K claims · 13.3%

Your Cost: $78.61/claim|Median: $24.49
3.2× median
97530Top 25%

Therapeutic activities, each 15 min

$2.7M

33K claims · 11.8%

Your Cost: $79.35/claim|Median: $33.11
2.4× median
96112Top 10%

Developmental test administration

$2.3M

7,002 claims · 10.3%

Your Cost: $331.54/claim|Median: $102.95
3.2× median
T1017Normal range

Targeted case management, per 15 min

$2.0M

63K claims · 8.8%

Your Cost: $31.36/claim|Median: $69.56
0.5× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$1.1M

37K claims · 5.1%

Your Cost: $30.46/claim|Median: $27.28
1.1× median
97116Top 5%

Gait training

$939K

12K claims · 4.2%

Your Cost: $78.96/claim|Median: $12.48
6.3× median
H2027Normal range

Psychoeducational service, per 15 minutes

$618K

6,528 claims · 2.7%

Your Cost: $94.63/claim|Median: $82.72
1.1× median
H2037Top 25%

$523K

5,667 claims · 2.3%

Your Cost: $92.34/claim|Median: $83.80
1.1× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$367K

4,672 claims · 1.6%

Your Cost: $78.49/claim|Median: $20.04
3.9× median
96167Top 5%

$208K

1,961 claims · 0.9%

Your Cost: $105.89/claim|Median: $43.84
2.4× median
96168Top 5%

$186K

1,777 claims · 0.8%

Your Cost: $104.59/claim|Median: $25.73
4.1× median
97533Top 25%

$139K

1,779 claims · 0.6%

Your Cost: $78.03/claim|Median: $48.71
1.6× median
97166Top 5%

OT evaluation, moderate complexity

$124K

779 claims · 0.6%

Your Cost: $159.74/claim|Median: $48.74
3.3× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$102K

652 claims · 0.5%

Your Cost: $156.82/claim|Median: $79.21
2.0× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$102K

651 claims · 0.5%

Your Cost: $156.89/claim|Median: $110.87
1.4× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$93K

995 claims · 0.4%

Your Cost: $93.30/claim|Median: $146.45
0.6× median
97165Top 5%

OT evaluation, low complexity

$88K

544 claims · 0.4%

Your Cost: $160.86/claim|Median: $46.78
3.4× median
96154Top 5%

$56K

530 claims · 0.2%

Your Cost: $104.83/claim|Median: $36.72
2.9× median
97167Top 10%

OT evaluation, high complexity

$21K

125 claims · 0.1%

Your Cost: $167.93/claim|Median: $70.96
2.4× median
92526Top 25%

Treatment of swallowing dysfunction and/or oral function

$7K

92 claims · 0.0%

Your Cost: $73.15/claim|Median: $49.74
1.5× median
96159Top 25%

$3K

31 claims · 0.0%

Your Cost: $106.05/claim|Median: $20.68
5.1× median
96158Top 1%

$2K

23 claims · 0.0%

Your Cost: $106.05/claim|Median: $28.43
3.7× median

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