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Provider 1952777245

NPI: 1952777245Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.4M

$9,410,704

Total Claims

122K

Beneficiaries

55K

2.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+77%
2019
$1.8M
-57%
2020
$761K
+24%
2021
$944K
+116%
2022
$2.0M
-25%
2023
$1.5M
-11%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0128 (Insertion of brain-computer interface)) accounts for 21% of total spending.

0128Normal range

Insertion of brain-computer interface

$2.0M

123 claims · 21.2%

Your Cost: $16,228.83/claim|Median: $15,992.85
1.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.0M

38K claims · 20.8%

Your Cost: $51.96/claim|Median: $24.49
2.1× median
97530Top 25%

Therapeutic activities, each 15 min

$1.4M

24K claims · 15.4%

Your Cost: $61.31/claim|Median: $33.11
1.9× median
92507Top 25%

Speech/hearing/language treatment

$791K

11K claims · 8.4%

Your Cost: $73.00/claim|Median: $49.45
1.5× median
45380Top 5%

Colonoscopy with biopsy

$713K

835 claims · 7.6%

Your Cost: $853.38/claim|Median: $200.68
4.3× median
43239Top 10%

Upper GI endoscopy with biopsy

$641K

1,136 claims · 6.8%

Your Cost: $564.48/claim|Median: $151.68
3.7× median
99221Top 5%

Initial hospital care, straightforward/low

$397K

1,672 claims · 4.2%

Your Cost: $237.33/claim|Median: $39.96
5.9× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$239K

1,479 claims · 2.5%

Your Cost: $161.44/claim|Median: $35.80
4.5× median
V5010Top 10%

$181K

2,405 claims · 1.9%

Your Cost: $75.29/claim|Median: $50.38
1.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$154K

9,815 claims · 1.6%

Your Cost: $15.68/claim|Median: $16.79
0.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$138K

10K claims · 1.5%

Your Cost: $13.75/claim|Median: $20.04
0.7× median
45378Normal range

Colonoscopy, diagnostic

$126K

535 claims · 1.3%

Your Cost: $235.83/claim|Median: $225.49
1.0× median
Z5822Normal range

$103K

2,494 claims · 1.1%

Your Cost: $41.35/claim|Median: $40.83
1.0× median
V5298Normal range

$92K

69 claims · 1.0%

Your Cost: $1,333.81/claim|Median: $1,373.37
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$71K

1,685 claims · 0.8%

Your Cost: $42.21/claim|Median: $37.22
1.1× median
X4500Top 25%

$61K

644 claims · 0.6%

Your Cost: $94.56/claim|Median: $65.47
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$56K

4,232 claims · 0.6%

Your Cost: $13.26/claim|Median: $26.41
0.5× median
99218Top 25%

$33K

228 claims · 0.4%

Your Cost: $144.89/claim|Median: $51.50
2.8× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$24K

486 claims · 0.3%

Your Cost: $49.46/claim|Median: $39.70
1.2× median
X4540Top 25%

$23K

692 claims · 0.2%

Your Cost: $32.83/claim|Median: $25.93
1.3× median
97116Normal range

Gait training

$20K

2,180 claims · 0.2%

Your Cost: $9.31/claim|Median: $12.48
0.7× median
G2023Top 25%

Specimen collection for COVID-19 testing

$19K

814 claims · 0.2%

Your Cost: $23.64/claim|Median: $17.15
1.4× median
97162Normal range

PT evaluation, moderate complexity

$19K

677 claims · 0.2%

Your Cost: $27.70/claim|Median: $46.10
0.6× median
Z5910Top 25%

$16K

334 claims · 0.2%

Your Cost: $46.62/claim|Median: $38.24
1.2× median
V5264Normal range

$15K

294 claims · 0.2%

Your Cost: $52.68/claim|Median: $49.58
1.1× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$15K

140 claims · 0.2%

Your Cost: $104.42/claim|Median: $255.17
0.4× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$14K

426 claims · 0.2%

Your Cost: $33.85/claim|Median: $30.04
1.1× median
97163Top 25%

PT evaluation, high complexity

$13K

163 claims · 0.1%

Your Cost: $76.84/claim|Median: $50.34
1.5× median
97113Normal range

$12K

369 claims · 0.1%

Your Cost: $31.18/claim|Median: $51.02
0.6× median
99217Normal range

$6K

228 claims · 0.1%

Your Cost: $25.79/claim|Median: $31.89
0.8× median
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