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STATE OF INDIANA AUDITOR OF THE STATE

Early Intervention Provider Agency·INDIANAPOLIS, IN·NPI: 1912166075Share

Compared to Early Intervention Provider Agency Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $110.2M is at the 50th percentile among 14 Early Intervention Provider Agency providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$110.2M

$110,162,968

Total Claims

4.7M

Beneficiaries

976K

4.8 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$11.3M
+6%
2019
$12.0M
-2%
2020
$11.8M
+1%
2021
$11.9M
+12%
2022
$13.3M
+48%
2023
$19.7M
+54%
2024
$30.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 37 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 48% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$53.0M

1.4M claims · 48.1%

Your Cost: $37.32/claim|Median: $33.11
1.1× median
92507Normal range

Speech/hearing/language treatment

$20.4M

769K claims · 18.6%

Your Cost: $26.58/claim|Median: $49.45
0.5× median
97130Normal range

$15.8M

972K claims · 14.3%

Your Cost: $16.24/claim|Median: $21.60
0.8× median
97129Normal range

$5.8M

970K claims · 5.3%

Your Cost: $6.03/claim|Median: $17.39
0.3× median
97110Normal range

Therapeutic exercises, each 15 min

$3.9M

104K claims · 3.5%

Your Cost: $37.38/claim|Median: $24.49
1.5× median
92523Normal range

Evaluation of speech sound production with language comprehension

$2.8M

43K claims · 2.5%

Your Cost: $65.02/claim|Median: $110.87
0.6× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.7M

82K claims · 1.5%

Your Cost: $20.25/claim|Median: $20.04
1.0× median
97535Normal range

Self-care/home management training, per 15 minutes

$1.5M

62K claims · 1.3%

Your Cost: $23.41/claim|Median: $18.18
1.3× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$885K

37K claims · 0.8%

Your Cost: $23.95/claim|Median: $49.74
0.5× median
97161Normal range

Physical therapy evaluation, low complexity

$732K

24K claims · 0.7%

Your Cost: $30.64/claim|Median: $47.89
0.6× median
97165Normal range

OT evaluation, low complexity

$665K

26K claims · 0.6%

Your Cost: $25.74/claim|Median: $46.78
0.6× median
97533Normal range

$494K

24K claims · 0.4%

Your Cost: $20.30/claim|Median: $48.71
0.4× median
T1027Normal range

Family training and counseling, per 15 minutes

$455K

20K claims · 0.4%

Your Cost: $23.19/claim|Median: $53.00
0.4× median
97116Normal range

Gait training

$439K

33K claims · 0.4%

Your Cost: $13.42/claim|Median: $12.48
1.1× median
97163Normal range

PT evaluation, high complexity

$383K

13K claims · 0.3%

Your Cost: $30.53/claim|Median: $50.34
0.6× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$332K

11K claims · 0.3%

Your Cost: $29.70/claim|Median: $24.33
1.2× median
97167Normal range

OT evaluation, high complexity

$304K

12K claims · 0.3%

Your Cost: $24.97/claim|Median: $70.96
0.4× median
97162Normal range

PT evaluation, moderate complexity

$222K

7,527 claims · 0.2%

Your Cost: $29.52/claim|Median: $46.10
0.6× median
97166Normal range

OT evaluation, moderate complexity

$205K

7,816 claims · 0.2%

Your Cost: $26.26/claim|Median: $48.74
0.5× median
92579Normal range

$37K

4,389 claims · 0.0%

Your Cost: $8.40/claim|Median: $30.58
0.3× median
96112Normal range

Developmental test administration

$24K

17K claims · 0.0%

Your Cost: $1.43/claim|Median: $102.95
0.0× median
92587Normal range

$19K

2,968 claims · 0.0%

Your Cost: $6.42/claim|Median: $19.24
0.3× median
92567Normal range

$19K

4,840 claims · 0.0%

Your Cost: $3.85/claim|Median: $11.50
0.3× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$16K

223 claims · 0.0%

Your Cost: $72.34/claim|Median: $12.70
5.7× median
96113Normal range

Developmental test admin, each additional 30 min

$14K

14K claims · 0.0%

Your Cost: $1.00/claim|Median: $77.06
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$13K

230 claims · 0.0%

Your Cost: $54.54/claim|Median: $99.21
0.5× median
92555Normal range

$9K

1,479 claims · 0.0%

Your Cost: $6.04/claim|Median: $14.17
0.4× median
V5264Normal range

$6K

152 claims · 0.0%

Your Cost: $36.98/claim|Median: $49.58
0.7× median
95851Normal range

$1K

2,023 claims · 0.0%

Your Cost: $0.70/claim|Median: $6.72
0.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$510

59 claims · 0.0%

Your Cost: $8.65/claim|Median: $12.63
0.7× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$406

44 claims · 0.0%

Your Cost: $9.22/claim|Median: $31.08
0.3× median
92065Normal range

$277

111 claims · 0.0%

Your Cost: $2.49/claim|Median: $30.29
0.1× median
92568Normal range

$119

12 claims · 0.0%

Your Cost: $9.91/claim|Median: $10.55
0.9× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$30

14 claims · 0.0%

Your Cost: $2.16/claim|Median: $30.49
0.1× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$0

3,921 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.67
T1023Normal range

Screening to determine appropriateness of consideration for program

$0

7,253 claims · 0.0%

Your Cost: $0.00/claim|Median: $106.70
96130Normal range

Psychological testing evaluation by professional, first hour

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $79.21