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Provider 1831441054

NPI: 1831441054Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.9M

$10,941,744

Total Claims

337K

Beneficiaries

137K

2.5 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+72%
2019
$1.8M
-14%
2020
$1.5M
+33%
2021
$2.0M
-19%
2022
$1.6M
-5%
2023
$1.6M
-14%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (97533) accounts for 20% of total spending.

97533Normal range

$2.2M

46K claims · 20.5%

Your Cost: $48.28/claim|Median: $48.71
1.0× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$1.8M

53K claims · 16.1%

Your Cost: $33.47/claim|Median: $16.79
2.0× median
97110Normal range

Therapeutic exercises, each 15 min

$1.7M

61K claims · 15.9%

Your Cost: $28.33/claim|Median: $24.49
1.2× median
97130Normal range

$1.1M

47K claims · 9.8%

Your Cost: $22.77/claim|Median: $21.60
1.1× median
97129Normal range

$957K

47K claims · 8.7%

Your Cost: $20.21/claim|Median: $17.39
1.2× median
92523Normal range

Evaluation of speech sound production with language comprehension

$829K

6,832 claims · 7.6%

Your Cost: $121.32/claim|Median: $110.87
1.1× median
G0515Top 25%

$671K

9,417 claims · 6.1%

Your Cost: $71.24/claim|Median: $23.57
3.0× median
92507Top 10%

Speech/hearing/language treatment

$631K

7,257 claims · 5.8%

Your Cost: $86.94/claim|Median: $49.45
1.8× median
97750Normal range

$303K

9,038 claims · 2.8%

Your Cost: $33.54/claim|Median: $30.89
1.1× median
97032Normal range

Electrical stimulation, manual

$296K

40K claims · 2.7%

Your Cost: $7.43/claim|Median: $9.42
0.8× median
97165Top 10%

OT evaluation, low complexity

$149K

1,171 claims · 1.4%

Your Cost: $127.00/claim|Median: $46.78
2.7× median
97163Top 25%

PT evaluation, high complexity

$68K

609 claims · 0.6%

Your Cost: $111.30/claim|Median: $50.34
2.2× median
97164Normal range

PT re-evaluation

$48K

1,096 claims · 0.4%

Your Cost: $43.60/claim|Median: $32.66
1.3× median
97799Normal range

$45K

1,276 claims · 0.4%

Your Cost: $35.27/claim|Median: $16.72
2.1× median
97162Normal range

PT evaluation, moderate complexity

$36K

699 claims · 0.3%

Your Cost: $51.37/claim|Median: $46.10
1.1× median
A4595Normal range

$35K

1,919 claims · 0.3%

Your Cost: $18.16/claim|Median: $17.27
1.1× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$29K

2,652 claims · 0.3%

Your Cost: $11.05/claim|Median: $20.04
0.6× median
97161Normal range

Physical therapy evaluation, low complexity

$22K

408 claims · 0.2%

Your Cost: $54.61/claim|Median: $47.89
1.1× median
97001Normal range

$8K

167 claims · 0.1%

Your Cost: $47.36/claim|Median: $50.40
0.9× median
97168Normal range

OT re-evaluation

$3K

52 claims · 0.0%

Your Cost: $64.30/claim|Median: $50.43
1.3× median
97167Normal range

OT evaluation, high complexity

$3K

26 claims · 0.0%

Your Cost: $108.76/claim|Median: $70.96
1.5× median
97002Normal range

$2K

37 claims · 0.0%

Your Cost: $50.40/claim|Median: $54.45
0.9× median
97014Normal range

Electrical stimulation, unattended

$1K

127 claims · 0.0%

Your Cost: $10.86/claim|Median: $8.83
1.2× median
97004Normal range

$1K

21 claims · 0.0%

Your Cost: $55.02/claim|Median: $84.65
0.6× median
97166Normal range

OT evaluation, moderate complexity

$1K

67 claims · 0.0%

Your Cost: $16.11/claim|Median: $48.74
0.3× median
97003Normal range

$715

13 claims · 0.0%

Your Cost: $55.02/claim|Median: $98.97
0.6× median
G0283Normal range

$49

49 claims · 0.0%

Your Cost: $1.01/claim|Median: $3.52
0.3× median
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