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

⚖️ Compare🖨️ Print Report

Provider 1912463399

NPI: 1912463399Share
Active Billing Period:2020-10→2024-12(51 months)

Total Paid

$13.7M

$13,703,790

Total Claims

681K

Beneficiaries

255K

2.7 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2020
$37K
+1883%
2021
$734K
+339%
2022
$3.2M
+45%
2023
$4.7M
+9%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 38% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$5.1M

194K claims · 37.5%

Your Cost: $26.52/claim|Median: $24.49
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$2.5M

59K claims · 18.5%

Your Cost: $43.02/claim|Median: $33.11
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1.4M

142K claims · 10.5%

Your Cost: $10.12/claim|Median: $16.79
0.6× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.4M

93K claims · 10.1%

Your Cost: $14.84/claim|Median: $20.04
0.7× median
97161Normal range

Physical therapy evaluation, low complexity

$827K

19K claims · 6.0%

Your Cost: $42.85/claim|Median: $47.89
0.9× median
97014Normal range

Electrical stimulation, unattended

$643K

91K claims · 4.7%

Your Cost: $7.09/claim|Median: $8.83
0.8× median
97535Normal range

Self-care/home management training, per 15 minutes

$636K

39K claims · 4.6%

Your Cost: $16.14/claim|Median: $18.18
0.9× median
T1999Top 5%

Miscellaneous therapeutic items and supplies

$576K

165 claims · 4.2%

Your Cost: $3,490.91/claim|Median: $28.63
121.9× median
97164Normal range

PT re-evaluation

$241K

11K claims · 1.8%

Your Cost: $21.63/claim|Median: $32.66
0.7× median
97165Normal range

OT evaluation, low complexity

$191K

4,696 claims · 1.4%

Your Cost: $40.73/claim|Median: $46.78
0.9× median
97168Normal range

OT re-evaluation

$57K

2,740 claims · 0.4%

Your Cost: $20.86/claim|Median: $50.43
0.4× median
G0283Normal range

$36K

20K claims · 0.3%

Your Cost: $1.85/claim|Median: $3.52
0.5× median
97116Normal range

Gait training

$5K

404 claims · 0.0%

Your Cost: $13.02/claim|Median: $12.48
1.0× median
97018Normal range

Paraffin bath therapy

$686

552 claims · 0.0%

Your Cost: $1.24/claim|Median: $5.30
0.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$2

2,478 claims · 0.0%

Your Cost: $0.00/claim|Median: $121.16
0.0× median
97010Normal range

Hot/cold packs application

$0

2,467 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.47
← All providersHow we detect fraud →