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Provider 1952441701

NPI: 1952441701Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.0M

$10,039,201

Total Claims

80K

Beneficiaries

22K

3.7 claims/patient

Avg Cost/Claim

$125

Monthly Spending Trend

Yearly Spending

2018
$310K
+122%
2019
$690K
+74%
2020
$1.2M
+74%
2021
$2.1M
-12%
2022
$1.8M
+2%
2023
$1.9M
+12%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (97151 (Behavior identification assessment)) accounts for 13% of total spending.

97151Normal range

Behavior identification assessment

$1.4M

8,205 claims · 13.4%

Your Cost: $164.53/claim|Median: $161.10
1.0× median
S9128Top 25%

Speech therapy, in the home, per diem

$1.3M

12K claims · 12.7%

Your Cost: $108.97/claim|Median: $72.77
1.5× median
97530Top 5%

Therapeutic activities, each 15 min

$1.1M

8,212 claims · 11.0%

Your Cost: $134.13/claim|Median: $33.11
4.1× median
S9131Top 25%

Physical therapy, in the home, per diem

$1.1M

9,515 claims · 10.7%

Your Cost: $112.81/claim|Median: $90.35
1.2× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.0M

4,761 claims · 10.4%

Your Cost: $218.82/claim|Median: $146.45
1.5× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$1.0M

5,568 claims · 10.1%

Your Cost: $181.91/claim|Median: $167.38
1.1× median
92507Top 10%

Speech/hearing/language treatment

$883K

9,235 claims · 8.8%

Your Cost: $95.58/claim|Median: $49.45
1.9× median
97110Top 5%

Therapeutic exercises, each 15 min

$777K

6,217 claims · 7.7%

Your Cost: $124.91/claim|Median: $24.49
5.1× median
S9129Top 25%

OT, in the home, per diem

$692K

5,811 claims · 6.9%

Your Cost: $119.11/claim|Median: $76.61
1.6× median
97152Normal range

$594K

3,974 claims · 5.9%

Your Cost: $149.37/claim|Median: $155.16
1.0× median
H0046Normal range

Mental health services, not otherwise specified

$138K

1,339 claims · 1.4%

Your Cost: $102.99/claim|Median: $85.02
1.2× median
H2021Normal range

Community-based wrap-around services, per 15 min

$93K

830 claims · 0.9%

Your Cost: $112.27/claim|Median: $169.11
0.7× median
H0031Normal range

Mental health assessment by non-physician

$3K

29 claims · 0.0%

Your Cost: $105.00/claim|Median: $96.18
1.1× median
T1027Normal range

Family training and counseling, per 15 minutes

$3K

4,673 claims · 0.0%

Your Cost: $0.60/claim|Median: $53.00
0.0× median