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Provider 1891763561

NPI: 1891763561Share
Active Billing Period:2018-01→2024-10(71 months)

Total Paid

$8.3M

$8,319,850

Total Claims

240K

Beneficiaries

95K

2.5 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$752K
+261%
2019
$2.7M
-32%
2020
$1.8M
-20%
2021
$1.5M
-31%
2022
$1.0M
-45%
2023
$548K
-99%
2024
$8K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 72% of total spending.

97110Top 25%

Therapeutic exercises, each 15 min

$6.0M

133K claims · 72.0%

Your Cost: $44.95/claim|Median: $24.49
1.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$576K

24K claims · 6.9%

Your Cost: $24.42/claim|Median: $16.79
1.5× median
97750Top 25%

$558K

11K claims · 6.7%

Your Cost: $51.92/claim|Median: $30.89
1.7× median
97530Normal range

Therapeutic activities, each 15 min

$265K

22K claims · 3.2%

Your Cost: $12.23/claim|Median: $33.11
0.4× median
97010Normal range

Hot/cold packs application

$200K

19K claims · 2.4%

Your Cost: $10.67/claim|Median: $4.47
2.4× median
97161Normal range

Physical therapy evaluation, low complexity

$200K

3,628 claims · 2.4%

Your Cost: $55.00/claim|Median: $47.89
1.1× median
97014Normal range

Electrical stimulation, unattended

$192K

16K claims · 2.3%

Your Cost: $12.09/claim|Median: $8.83
1.4× median
97113Normal range

$168K

3,537 claims · 2.0%

Your Cost: $47.53/claim|Median: $51.02
0.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$72K

4,939 claims · 0.9%

Your Cost: $14.55/claim|Median: $20.04
0.7× median
97162Normal range

PT evaluation, moderate complexity

$50K

959 claims · 0.6%

Your Cost: $52.37/claim|Median: $46.10
1.1× median
97001Normal range

$12K

229 claims · 0.1%

Your Cost: $54.36/claim|Median: $50.40
1.1× median
97018Top 25%

Paraffin bath therapy

$10K

951 claims · 0.1%

Your Cost: $10.61/claim|Median: $5.30
2.0× median
97012Top 25%

Mechanical traction therapy

$6K

528 claims · 0.1%

Your Cost: $12.04/claim|Median: $8.34
1.4× median
97035Normal range

Ultrasound therapy

$5K

647 claims · 0.1%

Your Cost: $8.05/claim|Median: $7.31
1.1× median
97116Normal range

Gait training

$3K

230 claims · 0.0%

Your Cost: $12.88/claim|Median: $12.48
1.0× median
97026Top 10%

$3K

275 claims · 0.0%

Your Cost: $10.71/claim|Median: $4.04
2.7× median
97002Normal range

$3K

47 claims · 0.0%

Your Cost: $53.67/claim|Median: $54.45
1.0× median
97163Normal range

PT evaluation, high complexity

$2K

38 claims · 0.0%

Your Cost: $62.86/claim|Median: $50.34
1.2× median
97165Normal range

OT evaluation, low complexity

$2K

47 claims · 0.0%

Your Cost: $37.13/claim|Median: $46.78
0.8× median
97535Normal range

Self-care/home management training, per 15 minutes

$324

12 claims · 0.0%

Your Cost: $27.04/claim|Median: $18.18
1.5× median
G0283Normal range

$124

17 claims · 0.0%

Your Cost: $7.27/claim|Median: $3.52
2.1× median
G8510Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
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