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

VHS REHABILITATION INSTITUTE OF MICHIGAN INC

Rehabilitation Hospital·DETROIT, MI·NPI: 1871805150Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$24.0M

$23,977,882

Total Claims

893K

Beneficiaries

329K

2.7 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-8%
2019
$3.4M
-27%
2020
$2.5M
+57%
2021
$3.9M
-3%
2022
$3.8M
-7%
2023
$3.6M
-16%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 28% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$6.8M

276K claims · 28.4%

Your Cost: $24.61/claim|Median: $24.49
1.0× median
97530Normal range

Therapeutic activities, each 15 min

$3.3M

101K claims · 13.7%

Your Cost: $32.51/claim|Median: $33.11
1.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$2.6M

116K claims · 10.9%

Your Cost: $22.45/claim|Median: $20.04
1.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$2.1M

150K claims · 8.8%

Your Cost: $14.13/claim|Median: $16.79
0.8× median
G0463Top 25%

Hospital outpatient clinic visit

$2.0M

33K claims · 8.4%

Your Cost: $62.29/claim|Median: $26.41
2.4× median
92507Normal range

Speech/hearing/language treatment

$1.9M

45K claims · 7.8%

Your Cost: $41.75/claim|Median: $49.45
0.8× median
97162Normal range

PT evaluation, moderate complexity

$984K

20K claims · 4.1%

Your Cost: $49.41/claim|Median: $46.10
1.1× median
93798Top 25%

Cardiac rehabilitation with continuous ECG monitoring, per session

$582K

9,169 claims · 2.4%

Your Cost: $63.43/claim|Median: $44.45
1.4× median
97161Normal range

Physical therapy evaluation, low complexity

$488K

9,739 claims · 2.0%

Your Cost: $50.13/claim|Median: $47.89
1.0× median
64493Top 10%

$433K

690 claims · 1.8%

Your Cost: $628.02/claim|Median: $103.44
6.1× median
64483Top 5%

$412K

703 claims · 1.7%

Your Cost: $585.92/claim|Median: $124.24
4.7× median
97116Normal range

Gait training

$324K

20K claims · 1.4%

Your Cost: $16.20/claim|Median: $12.48
1.3× median
92523Normal range

Evaluation of speech sound production with language comprehension

$295K

2,601 claims · 1.2%

Your Cost: $113.46/claim|Median: $110.87
1.0× median
97163Normal range

PT evaluation, high complexity

$244K

4,981 claims · 1.0%

Your Cost: $49.09/claim|Median: $50.34
1.0× median
20610Top 1%

Arthrocentesis, aspiration/injection, major joint

$196K

673 claims · 0.8%

Your Cost: $291.05/claim|Median: $29.03
10.0× median
97535Normal range

Self-care/home management training, per 15 minutes

$190K

10K claims · 0.8%

Your Cost: $18.33/claim|Median: $18.18
1.0× median
97166Normal range

OT evaluation, moderate complexity

$171K

3,325 claims · 0.7%

Your Cost: $51.55/claim|Median: $48.74
1.1× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$103K

280 claims · 0.4%

Your Cost: $367.49/claim|Median: $111.02
3.3× median
73560Top 25%

$102K

3,574 claims · 0.4%

Your Cost: $28.46/claim|Median: $10.28
2.8× median
97165Normal range

OT evaluation, low complexity

$91K

1,802 claims · 0.4%

Your Cost: $50.29/claim|Median: $46.78
1.1× median
73030Top 25%

$82K

2,770 claims · 0.3%

Your Cost: $29.62/claim|Median: $10.94
2.7× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$76K

1,653 claims · 0.3%

Your Cost: $46.14/claim|Median: $49.74
0.9× median
64635Top 5%

$60K

72 claims · 0.3%

Your Cost: $834.06/claim|Median: $207.78
4.0× median
97167Normal range

OT evaluation, high complexity

$60K

1,175 claims · 0.2%

Your Cost: $50.72/claim|Median: $70.96
0.7× median
97035Normal range

Ultrasound therapy

$56K

8,050 claims · 0.2%

Your Cost: $6.93/claim|Median: $7.31
0.9× median
97760Top 25%

$50K

1,004 claims · 0.2%

Your Cost: $49.92/claim|Median: $30.29
1.6× median
97022Normal range

$29K

3,247 claims · 0.1%

Your Cost: $9.05/claim|Median: $8.28
1.1× median
97010Normal range

Hot/cold packs application

$28K

45K claims · 0.1%

Your Cost: $0.63/claim|Median: $4.47
0.1× median
72110Normal range

$28K

1,344 claims · 0.1%

Your Cost: $20.86/claim|Median: $21.02
1.0× median
Q3014Normal range

Telehealth originating site facility fee

$25K

1,662 claims · 0.1%

Your Cost: $15.20/claim|Median: $15.37
1.0× median
97012Normal range

Mechanical traction therapy

$24K

3,426 claims · 0.1%

Your Cost: $7.04/claim|Median: $8.34
0.8× median
73565Normal range

$21K

2,430 claims · 0.1%

Your Cost: $8.72/claim|Median: $13.75
0.6× median
20611Top 1%

Aspiration or injection of intermediate joint or bursa

$18K

32 claims · 0.1%

Your Cost: $565.01/claim|Median: $42.51
13.3× median
97014Normal range

Electrical stimulation, unattended

$17K

1,736 claims · 0.1%

Your Cost: $9.93/claim|Median: $8.83
1.1× median
G0260Top 25%

$16K

53 claims · 0.1%

Your Cost: $296.81/claim|Median: $169.32
1.8× median
72100Top 10%

$14K

279 claims · 0.1%

Your Cost: $51.56/claim|Median: $15.14
3.4× median
64494Normal range

$11K

483 claims · 0.0%

Your Cost: $22.37/claim|Median: $34.70
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$7K

2,634 claims · 0.0%

Your Cost: $2.84/claim|Median: $35.43
0.1× median
72050Normal range

$6K

316 claims · 0.0%

Your Cost: $18.07/claim|Median: $23.33
0.8× median
62321Top 10%

$5K

12 claims · 0.0%

Your Cost: $398.18/claim|Median: $132.67
3.0× median
97032Normal range

Electrical stimulation, manual

$4K

559 claims · 0.0%

Your Cost: $7.77/claim|Median: $9.42
0.8× median
73562Normal range

$4K

249 claims · 0.0%

Your Cost: $15.59/claim|Median: $12.28
1.3× median
64495Normal range

$4K

276 claims · 0.0%

Your Cost: $12.87/claim|Median: $36.70
0.4× median
73501Top 25%

$2K

89 claims · 0.0%

Your Cost: $19.55/claim|Median: $9.01
2.2× median
64636Normal range

$2K

55 claims · 0.0%

Your Cost: $30.88/claim|Median: $63.60
0.5× median
97542Normal range

Wheelchair management training

$855

26 claims · 0.0%

Your Cost: $32.87/claim|Median: $18.66
1.8× median
G0283Normal range

$736

5,166 claims · 0.0%

Your Cost: $0.14/claim|Median: $3.52
0.0× median
77002Normal range

$613

198 claims · 0.0%

Your Cost: $3.10/claim|Median: $23.55
0.1× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$360

13 claims · 0.0%

Your Cost: $27.73/claim|Median: $13.55
2.0× median
73502Normal range

$265

14 claims · 0.0%

Your Cost: $18.94/claim|Median: $10.79
1.8× median