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Provider 1992753578

NPI: 1992753578Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.0M

$9,970,108

Total Claims

233K

Beneficiaries

63K

3.7 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-13%
2019
$1.7M
-31%
2020
$1.2M
+11%
2021
$1.3M
+5%
2022
$1.4M
-6%
2023
$1.3M
-26%
2024
$981K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (T1027 (Family training and counseling, per 15 minutes)) accounts for 39% of total spending.

T1027Top 25%

Family training and counseling, per 15 minutes

$3.9M

42K claims · 38.9%

Your Cost: $92.15/claim|Median: $53.00
1.7× median
T1016Normal range

Case management, each 15 min

$2.2M

32K claims · 22.3%

Your Cost: $68.73/claim|Median: $49.62
1.4× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$924K

70K claims · 9.3%

Your Cost: $13.21/claim|Median: $7.86
1.7× median
92507Normal range

Speech/hearing/language treatment

$860K

16K claims · 8.6%

Your Cost: $52.71/claim|Median: $49.45
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$677K

14K claims · 6.8%

Your Cost: $49.37/claim|Median: $33.11
1.5× median
92508Top 10%

Treatment of speech/language disorder, group, 2+ patients

$454K

17K claims · 4.6%

Your Cost: $26.09/claim|Median: $13.22
2.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$285K

6,317 claims · 2.9%

Your Cost: $45.12/claim|Median: $24.49
1.8× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$206K

4,684 claims · 2.1%

Your Cost: $44.08/claim|Median: $119.08
0.4× median
T1002Normal range

RN services, per 15 minutes

$127K

9,724 claims · 1.3%

Your Cost: $13.10/claim|Median: $37.42
0.4× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$124K

15K claims · 1.2%

Your Cost: $8.47/claim|Median: $121.16
0.1× median
T1018Top 5%

School-based IEP services, per encounter

$82K

688 claims · 0.8%

Your Cost: $118.85/claim|Median: $39.53
3.0× median
S9152Normal range

Speech therapy, re-evaluation

$47K

779 claims · 0.5%

Your Cost: $60.41/claim|Median: $92.99
0.6× median
92592Normal range

$26K

1,255 claims · 0.3%

Your Cost: $21.11/claim|Median: $15.16
1.4× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$19K

478 claims · 0.2%

Your Cost: $39.39/claim|Median: $27.28
1.4× median
T1003Normal range

LPN/LVN services, per 15 minutes

$16K

1,836 claims · 0.2%

Your Cost: $8.93/claim|Median: $24.24
0.4× median
97168Normal range

OT re-evaluation

$10K

314 claims · 0.1%

Your Cost: $30.35/claim|Median: $50.43
0.6× median
V5090Normal range

$6K

56 claims · 0.1%

Your Cost: $116.01/claim|Median: $177.05
0.7× median
V5275Normal range

$1K

42 claims · 0.0%

Your Cost: $31.35/claim|Median: $25.61
1.2× median
97164Normal range

PT re-evaluation

$388

12 claims · 0.0%

Your Cost: $32.37/claim|Median: $32.66
1.0× median
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