Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1972727816

NPI: 1972727816Share
Active Billing Period:2018-11→2024-09(71 months)

Total Paid

$17.4M

$17,416,962

Total Claims

402K

Beneficiaries

139K

2.9 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$806
+542932%
2019
$4.4M
+27%
2020
$5.6M
-69%
2021
$1.8M
+29%
2022
$2.3M
+3%
2023
$2.3M
-51%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 49% of total spending.

92507Normal range

Speech/hearing/language treatment

$8.5M

219K claims · 48.9%

Your Cost: $38.95/claim|Median: $49.45
0.8× median
97530Normal range

Therapeutic activities, each 15 min

$4.4M

109K claims · 25.1%

Your Cost: $40.06/claim|Median: $33.11
1.2× median
92523Top 5%

Evaluation of speech sound production with language comprehension

$1.5M

5,626 claims · 8.9%

Your Cost: $274.33/claim|Median: $110.87
2.5× median
97110Normal range

Therapeutic exercises, each 15 min

$1.4M

55K claims · 7.8%

Your Cost: $25.00/claim|Median: $24.49
1.0× median
97161Top 5%

Physical therapy evaluation, low complexity

$521K

2,743 claims · 3.0%

Your Cost: $190.06/claim|Median: $47.89
4.0× median
97162Top 5%

PT evaluation, moderate complexity

$282K

1,461 claims · 1.6%

Your Cost: $193.14/claim|Median: $46.10
4.2× median
97165Top 1%

OT evaluation, low complexity

$259K

785 claims · 1.5%

Your Cost: $330.04/claim|Median: $46.78
7.1× median
97168Top 5%

OT re-evaluation

$238K

1,188 claims · 1.4%

Your Cost: $200.15/claim|Median: $50.43
4.0× median
97167Top 5%

OT evaluation, high complexity

$98K

281 claims · 0.6%

Your Cost: $347.63/claim|Median: $70.96
4.9× median
97166Top 5%

OT evaluation, moderate complexity

$82K

308 claims · 0.5%

Your Cost: $266.92/claim|Median: $48.74
5.5× median
97164Top 5%

PT re-evaluation

$68K

475 claims · 0.4%

Your Cost: $142.83/claim|Median: $32.66
4.4× median
97163Top 5%

PT evaluation, high complexity

$36K

163 claims · 0.2%

Your Cost: $221.61/claim|Median: $50.34
4.4× median
92522Top 1%

Evaluation of speech sound production

$33K

125 claims · 0.2%

Your Cost: $263.53/claim|Median: $32.17
8.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$646

3,805 claims · 0.0%

Your Cost: $0.17/claim|Median: $37.81
0.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$209

1,028 claims · 0.0%

Your Cost: $0.20/claim|Median: $53.41
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$179

1,090 claims · 0.0%

Your Cost: $0.16/claim|Median: $40.11
0.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$92

521 claims · 0.0%

Your Cost: $0.18/claim|Median: $57.85
0.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$37

167 claims · 0.0%

Your Cost: $0.22/claim|Median: $84.03
0.0× median
17110Normal range

Destruction of benign lesions, up to fourteen

$7

90 claims · 0.0%

Your Cost: $0.07/claim|Median: $59.25
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$3

14 claims · 0.0%

Your Cost: $0.19/claim|Median: $25.06
0.0× median
11102Normal range

$1

28 claims · 0.0%

Your Cost: $0.02/claim|Median: $48.69
0.0× median
← All providersHow we detect fraud →