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Provider 1962760678

NPI: 1962760678Share
Active Billing Period:2018-07→2024-12(78 months)

Total Paid

$7.6M

$7,560,248

Total Claims

126K

Beneficiaries

22K

5.8 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$13K
+7020%
2019
$928K
+144%
2020
$2.3M
+2%
2021
$2.3M
-69%
2022
$719K
-13%
2023
$625K
+15%
2024
$719K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 25% of total spending.

T1017Normal range

Targeted case management, per 15 min

$1.9M

47K claims · 25.5%

Your Cost: $41.35/claim|Median: $69.56
0.6× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.6M

16K claims · 21.7%

Your Cost: $101.81/claim|Median: $146.45
0.7× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$1.2M

31K claims · 16.2%

Your Cost: $39.58/claim|Median: $27.28
1.5× median
92507Top 25%

Speech/hearing/language treatment

$687K

8,911 claims · 9.1%

Your Cost: $77.11/claim|Median: $49.45
1.6× median
H2014Normal range

Skills training & development, per 15 min

$559K

6,844 claims · 7.4%

Your Cost: $81.66/claim|Median: $83.88
1.0× median
97110Top 10%

Therapeutic exercises, each 15 min

$502K

6,359 claims · 6.6%

Your Cost: $78.94/claim|Median: $24.49
3.2× median
97530Top 25%

Therapeutic activities, each 15 min

$418K

5,334 claims · 5.5%

Your Cost: $78.31/claim|Median: $33.11
2.4× median
97116Top 5%

Gait training

$204K

2,584 claims · 2.7%

Your Cost: $78.95/claim|Median: $12.48
6.3× median
96111Top 5%

$164K

463 claims · 2.2%

Your Cost: $354.55/claim|Median: $86.72
4.1× median
97533Top 25%

$90K

1,146 claims · 1.2%

Your Cost: $78.87/claim|Median: $48.71
1.6× median
96112Top 5%

Developmental test administration

$68K

191 claims · 0.9%

Your Cost: $355.81/claim|Median: $102.95
3.5× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$55K

696 claims · 0.7%

Your Cost: $79.00/claim|Median: $20.04
3.9× median
97535Top 10%

Self-care/home management training, per 15 minutes

$14K

188 claims · 0.2%

Your Cost: $71.86/claim|Median: $18.18
4.0× median
97127Normal range

$7K

86 claims · 0.1%

Your Cost: $79.00/claim|Median: $66.78
1.2× median
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