Compared to Physical Therapist Peers
Total spending distribution among 20 providers in this specialty
P25MedianP75P90
This provider's total spending of $156K is at the 50th percentile among 20 Physical Therapist providers.
Total Paid
$156K
$156,327
Total Claims
2,393
Beneficiaries
526
4.5 claims/patient
Avg Cost/Claim
$65
🔍 Analysis
Provider Overview
Edwin Suarez is a Physical Therapist provider based in Las Vegas, NV. From 2018-01 through 2018-12, this provider received $156K in Medicaid payments across 2K claims serving 526 beneficiaries, billing 1 distinct procedure codes.
Key Findings
- 📊Bills 2.7× the national median for 97110 (97110), at $65 per claim vs. the median of $24, placing them above the 90th percentile.
- 📊100% of billing is concentrated in 97110 (97110), indicating significant specialization in this service.
- 📊Billing stopped in 2018-12, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 1 distinct procedure code. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 100% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
97110Top 10%
Therapeutic exercises, each 15 min
$156K
2,393 claims · 100.0%
Your Cost: $65.33/claim|Median: $24.49
2.7× median