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Provider 1871089763

NPI: 1871089763Share
Active Billing Period:2020-11→2024-12(50 months)

Total Paid

$8.8M

$8,785,332

Total Claims

153K

Beneficiaries

12K

13.2 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2020
$3K
+11754%
2021
$402K
+259%
2022
$1.4M
+89%
2023
$2.7M
+55%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 68% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$6.0M

40K claims · 68.0%

Your Cost: $149.83/claim|Median: $167.38
0.9× median
92507Normal range

Speech/hearing/language treatment

$1.2M

45K claims · 13.8%

Your Cost: $26.74/claim|Median: $49.45
0.5× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$657K

12K claims · 7.5%

Your Cost: $55.36/claim|Median: $146.45
0.4× median
97530Normal range

Therapeutic activities, each 15 min

$602K

20K claims · 6.9%

Your Cost: $29.63/claim|Median: $33.11
0.9× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$220K

27K claims · 2.5%

Your Cost: $8.28/claim|Median: $55.95
0.1× median
92508Normal range

Treatment of speech/language disorder, group, 2+ patients

$77K

6,329 claims · 0.9%

Your Cost: $12.17/claim|Median: $13.22
0.9× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$29K

726 claims · 0.3%

Your Cost: $40.11/claim|Median: $49.74
0.8× median
92523Normal range

Evaluation of speech sound production with language comprehension

$6K

60 claims · 0.1%

Your Cost: $102.53/claim|Median: $110.87
0.9× median
97166Normal range

OT evaluation, moderate complexity

$2K

37 claims · 0.0%

Your Cost: $40.86/claim|Median: $48.74
0.8× median
92609Normal range

$1K

1,271 claims · 0.0%

Your Cost: $0.94/claim|Median: $59.78
0.0× median
97156Normal range

$1K

40 claims · 0.0%

Your Cost: $25.25/claim|Median: $88.65
0.3× median
97550Normal range

$0

20 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
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