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MDRS SPINE & SPORT, INC

Physical Therapist·SAN DIEGO, CA·NPI: 1952394603Share

Compared to Physical Therapist Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $48.9M is at the 99th percentile among 20 Physical Therapist providers.

Above 99th percentile for this specialty — higher spending than 19 of 20 peers

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

Total Paid

$48.9M

$48,874,019

Total Claims

1.9M

Beneficiaries

796K

2.4 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+13%
2019
$3.5M
+30%
2020
$4.5M
+47%
2021
$6.6M
+25%
2022
$8.3M
+24%
2023
$10.2M
+25%
2024
$12.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (97139) accounts for 32% of total spending.

97139Normal range

$15.7M

517K claims · 32.2%

Your Cost: $30.47/claim|Median: $28.71
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$11.4M

397K claims · 23.3%

Your Cost: $28.75/claim|Median: $33.11
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$10.0M

456K claims · 20.5%

Your Cost: $22.02/claim|Median: $24.49
0.9× median
97161Normal range

Physical therapy evaluation, low complexity

$4.2M

79K claims · 8.6%

Your Cost: $52.84/claim|Median: $47.89
1.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$2.0M

111K claims · 4.1%

Your Cost: $18.20/claim|Median: $16.79
1.1× median
97113Normal range

$1.4M

37K claims · 2.8%

Your Cost: $36.67/claim|Median: $51.02
0.7× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$995K

69K claims · 2.0%

Your Cost: $14.46/claim|Median: $20.04
0.7× median
97010Normal range

Hot/cold packs application

$885K

133K claims · 1.8%

Your Cost: $6.65/claim|Median: $4.47
1.5× median
97799Normal range

$636K

21K claims · 1.3%

Your Cost: $30.10/claim|Median: $16.72
1.8× median
97014Normal range

Electrical stimulation, unattended

$577K

52K claims · 1.2%

Your Cost: $11.04/claim|Median: $8.83
1.3× median
97162Normal range

PT evaluation, moderate complexity

$539K

15K claims · 1.1%

Your Cost: $36.58/claim|Median: $46.10
0.8× median
97750Normal range

$233K

13K claims · 0.5%

Your Cost: $18.54/claim|Median: $30.89
0.6× median
97163Normal range

PT evaluation, high complexity

$58K

862 claims · 0.1%

Your Cost: $66.78/claim|Median: $50.34
1.3× median
97018Normal range

Paraffin bath therapy

$50K

6,574 claims · 0.1%

Your Cost: $7.56/claim|Median: $5.30
1.4× median
97164Normal range

PT re-evaluation

$43K

1,586 claims · 0.1%

Your Cost: $27.27/claim|Median: $32.66
0.8× median
97535Normal range

Self-care/home management training, per 15 minutes

$32K

3,897 claims · 0.1%

Your Cost: $8.20/claim|Median: $18.18
0.5× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$26K

11K claims · 0.1%

Your Cost: $2.41/claim|Median: $12.12
0.2× median
97165Normal range

OT evaluation, low complexity

$18K

491 claims · 0.0%

Your Cost: $36.69/claim|Median: $46.78
0.8× median
97166Normal range

OT evaluation, moderate complexity

$11K

313 claims · 0.0%

Your Cost: $36.57/claim|Median: $48.74
0.8× median
G0283Normal range

$5K

2,617 claims · 0.0%

Your Cost: $1.74/claim|Median: $3.52
0.5× median
97172Top 10%

$3K

56 claims · 0.0%

Your Cost: $58.68/claim|Median: $34.84
1.7× median
S5165Normal range

Home modifications, per service

$2K

25 claims · 0.0%

Your Cost: $84.12/claim|Median: $2,196.32
0.0× median
A9300Normal range

$270

201 claims · 0.0%

Your Cost: $1.34/claim|Median: $0.29
4.6× median
97116Normal range

Gait training

$151

75 claims · 0.0%

Your Cost: $2.01/claim|Median: $12.48
0.2× median
A4556Normal range

$130

570 claims · 0.0%

Your Cost: $0.23/claim|Median: $1.69
0.1× median
97001Normal range

$0

172 claims · 0.0%

Your Cost: $0.00/claim|Median: $50.40

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