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

⚖️ Compare🖨️ Print Report

Provider 1942204607

NPI: 1942204607Share
Active Billing Period:2018-01→2023-03(63 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$11.0M

$11,036,480

Total Claims

281K

Beneficiaries

20K

14.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+121%
2019
$4.3M
-45%
2020
$2.4M
-74%
2021
$631K
+135%
2022
$1.5M
-86%
2023
$206K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 32% of total spending.

97530Normal range

Therapeutic activities, each 15 min

$3.6M

94K claims · 32.2%

Your Cost: $38.03/claim|Median: $33.11
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$2.5M

61K claims · 22.7%

Your Cost: $41.03/claim|Median: $24.49
1.7× median
97535Top 25%

Self-care/home management training, per 15 minutes

$1.1M

32K claims · 10.1%

Your Cost: $35.08/claim|Median: $18.18
1.9× median
97116Top 25%

Gait training

$1.1M

30K claims · 10.0%

Your Cost: $37.04/claim|Median: $12.48
3.0× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.0M

27K claims · 9.2%

Your Cost: $37.50/claim|Median: $20.04
1.9× median
92507Top 25%

Speech/hearing/language treatment

$573K

8,015 claims · 5.2%

Your Cost: $71.47/claim|Median: $49.45
1.4× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$459K

9,161 claims · 4.2%

Your Cost: $50.11/claim|Median: $16.79
3.0× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$251K

9,453 claims · 2.3%

Your Cost: $26.50/claim|Median: $49.74
0.5× median
G8978Top 25%

$90K

987 claims · 0.8%

Your Cost: $91.21/claim|Median: $5.17
17.6× median
G8981Top 25%

$77K

1,072 claims · 0.7%

Your Cost: $71.46/claim|Median: $13.79
5.2× median
G8979Top 25%

$70K

1,186 claims · 0.6%

Your Cost: $58.70/claim|Median: $3.96
14.8× median
G8982Top 25%

$44K

1,286 claims · 0.4%

Your Cost: $34.45/claim|Median: $6.66
5.2× median
97162Normal range

PT evaluation, moderate complexity

$36K

1,113 claims · 0.3%

Your Cost: $32.76/claim|Median: $46.10
0.7× median
G8987Top 25%

$24K

415 claims · 0.2%

Your Cost: $58.53/claim|Median: $12.37
4.7× median
97166Normal range

OT evaluation, moderate complexity

$24K

1,248 claims · 0.2%

Your Cost: $18.90/claim|Median: $48.74
0.4× median
G8988Normal range

$19K

600 claims · 0.2%

Your Cost: $32.50/claim|Median: $8.81
3.7× median
97542Normal range

Wheelchair management training

$12K

1,008 claims · 0.1%

Your Cost: $12.00/claim|Median: $18.66
0.6× median
G8993Top 25%

$12K

144 claims · 0.1%

Your Cost: $81.94/claim|Median: $20.97
3.9× median
G8994Normal range

$10K

264 claims · 0.1%

Your Cost: $39.54/claim|Median: $26.37
1.5× median
G8996Top 25%

$9K

200 claims · 0.1%

Your Cost: $47.03/claim|Median: $11.40
4.1× median
G8997Top 25%

$9K

275 claims · 0.1%

Your Cost: $31.04/claim|Median: $3.58
8.7× median
G8980Top 5%

$6K

84 claims · 0.1%

Your Cost: $69.19/claim|Median: $0.84
82.4× median
G9169Top 1%

$3K

64 claims · 0.0%

Your Cost: $52.72/claim|Median: $26.92
2.0× median
92610Normal range

Evaluation of swallowing function

$2K

219 claims · 0.0%

Your Cost: $11.06/claim|Median: $45.22
0.2× median
G8983Top 1%

$2K

86 claims · 0.0%

Your Cost: $21.81/claim|Median: $9.18
2.4× median
92523Normal range

Evaluation of speech sound production with language comprehension

$984

33 claims · 0.0%

Your Cost: $29.80/claim|Median: $110.87
0.3× median
90688Normal range

$0

158 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
0004ANormal range

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.62
G0008Normal range

$0

219 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
90662Normal range

$0

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
← All providersHow we detect fraud →