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Nicholas Hernaez

Physical Therapist·Las Vegas, NV·NPI: 1851781850SharePrint ReportML Risk: 85%

Compared to Physical Therapist Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $123K is at the below 25th percentile among 20 Physical Therapist providers.

Total Paid

$123K

$123,062

Total Claims

3,192

Beneficiaries

1,657

1.9 claims/patient

Avg Cost/Claim

$39

🔍 Analysis

Provider Overview

Nicholas Hernaez is a Physical Therapist provider based in Las Vegas, NV. From the 2018–2024 period, this provider received $123K in Medicaid payments across 3K claims serving 2K beneficiaries.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 63% of total spending.

97110Top 25%

Therapeutic exercises, each 15 min

$78K

1,552 claims · 63.4%

Your Cost: $50.24/claim|Median: $24.49
2.1× median
97530Normal range

Therapeutic activities, each 15 min

$31K

813 claims · 25.5%

Your Cost: $38.65/claim|Median: $33.11
1.2× median
97163Normal range

PT evaluation, high complexity

$11K

179 claims · 9.1%

Your Cost: $62.32/claim|Median: $50.34
1.2× median
97010Normal range

Hot/cold packs application

$2K

632 claims · 1.8%

Your Cost: $3.49/claim|Median: $4.47
0.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$307

16 claims · 0.2%

Your Cost: $19.16/claim|Median: $16.79
1.1× median