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Provider 1942244645

NPI: 1942244645Share
Active Billing Period:2018-01→2023-02(51 months)
Billing appears to have stoppedLast active: 2023-02

Total Paid

$11.8M

$11,816,220

Total Claims

740K

Beneficiaries

450K

1.6 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$3.5M
+79%
2019
$6.2M
-66%
2020
$2.1M
-100%
2021
$465
+405%
2022
$2K
-95%
2023
$108

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 36% of total spending.

97110Top 5%

Therapeutic exercises, each 15 min

$4.3M

42K claims · 36.2%

Your Cost: $101.60/claim|Median: $24.49
4.1× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$934K

14K claims · 7.9%

Your Cost: $65.80/claim|Median: $16.79
3.9× median
97161Top 10%

Physical therapy evaluation, low complexity

$698K

5,518 claims · 5.9%

Your Cost: $126.56/claim|Median: $47.89
2.6× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$470K

18K claims · 4.0%

Your Cost: $25.82/claim|Median: $18.03
1.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$466K

29K claims · 3.9%

Your Cost: $15.93/claim|Median: $24.95
0.6× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$463K

29K claims · 3.9%

Your Cost: $15.87/claim|Median: $23.39
0.7× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$266K

4,776 claims · 2.3%

Your Cost: $55.69/claim|Median: $20.04
2.8× median
97162Top 5%

PT evaluation, moderate complexity

$235K

1,829 claims · 2.0%

Your Cost: $128.26/claim|Median: $46.10
2.8× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$212K

1,322 claims · 1.8%

Your Cost: $160.59/claim|Median: $169.17
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$183K

3,360 claims · 1.6%

Your Cost: $54.55/claim|Median: $39.33
1.4× median
97535Top 25%

Self-care/home management training, per 15 minutes

$174K

2,594 claims · 1.5%

Your Cost: $66.95/claim|Median: $18.18
3.7× median
97530Top 25%

Therapeutic activities, each 15 min

$154K

2,517 claims · 1.3%

Your Cost: $61.18/claim|Median: $33.11
1.8× median
97116Top 5%

Gait training

$154K

1,905 claims · 1.3%

Your Cost: $80.59/claim|Median: $12.48
6.5× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$147K

20K claims · 1.2%

Your Cost: $7.43/claim|Median: $21.08
0.4× median
86480Normal range

Tuberculosis test, cell-mediated immunity

$99K

4,478 claims · 0.8%

Your Cost: $22.19/claim|Median: $38.35
0.6× median
84443Normal range

Thyroid stimulating hormone (TSH)

$97K

16K claims · 0.8%

Your Cost: $5.95/claim|Median: $9.87
0.6× median
92507Normal range

Speech/hearing/language treatment

$94K

1,786 claims · 0.8%

Your Cost: $52.62/claim|Median: $49.45
1.1× median
80053Normal range

Comprehensive metabolic panel

$93K

29K claims · 0.8%

Your Cost: $3.27/claim|Median: $7.24
0.5× median
87536Normal range

HIV-1 detection by nucleic acid, quantitative

$82K

1,888 claims · 0.7%

Your Cost: $43.19/claim|Median: $51.73
0.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$76K

4,069 claims · 0.6%

Your Cost: $18.63/claim|Median: $35.43
0.5× median
90670Top 10%

$76K

3,308 claims · 0.6%

Your Cost: $22.84/claim|Median: $5.94
3.8× median
U0003Top 10%

Infectious disease detection (COVID-19)

$73K

770 claims · 0.6%

Your Cost: $95.34/claim|Median: $63.08
1.5× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$73K

1,109 claims · 0.6%

Your Cost: $66.16/claim|Median: $75.28
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$67K

1,234 claims · 0.6%

Your Cost: $54.12/claim|Median: $35.80
1.5× median
86780Normal range

$63K

16K claims · 0.5%

Your Cost: $3.87/claim|Median: $9.83
0.4× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$59K

5,522 claims · 0.5%

Your Cost: $10.77/claim|Median: $25.57
0.4× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$58K

3,703 claims · 0.5%

Your Cost: $15.65/claim|Median: $7.18
2.2× median
73562Top 25%

$57K

2,452 claims · 0.5%

Your Cost: $23.08/claim|Median: $12.28
1.9× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$54K

2,302 claims · 0.5%

Your Cost: $23.41/claim|Median: $37.56
0.6× median
87799Normal range

$52K

1,664 claims · 0.4%

Your Cost: $31.52/claim|Median: $21.87
1.4× median
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