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Provider 1912198730

NPI: 1912198730Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,126,100

Total Claims

196K

Beneficiaries

42K

4.7 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+34%
2019
$1.8M
-3%
2020
$1.7M
+42%
2021
$2.4M
+24%
2022
$3.0M
+17%
2023
$3.6M
-8%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 54% of total spending.

92507Top 10%

Speech/hearing/language treatment

$9.2M

104K claims · 53.8%

Your Cost: $88.71/claim|Median: $49.45
1.8× median
97530Top 10%

Therapeutic activities, each 15 min

$6.8M

81K claims · 39.4%

Your Cost: $83.47/claim|Median: $33.11
2.5× median
97110Top 5%

Therapeutic exercises, each 15 min

$863K

9,165 claims · 5.0%

Your Cost: $94.21/claim|Median: $24.49
3.8× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$161K

1,029 claims · 0.9%

Your Cost: $156.89/claim|Median: $110.87
1.4× median
97166Top 10%

OT evaluation, moderate complexity

$90K

724 claims · 0.5%

Your Cost: $123.77/claim|Median: $48.74
2.5× median
97003Top 5%

$35K

221 claims · 0.2%

Your Cost: $157.58/claim|Median: $98.97
1.6× median
97163Top 10%

PT evaluation, high complexity

$10K

74 claims · 0.1%

Your Cost: $131.74/claim|Median: $50.34
2.6× median
97167Top 25%

OT evaluation, high complexity

$5K

41 claims · 0.0%

Your Cost: $117.10/claim|Median: $70.96
1.7× median
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