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Provider 1003052598

NPI: 1003052598Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.2M

$17,196,527

Total Claims

65K

Beneficiaries

58K

1.1 claims/patient

Avg Cost/Claim

$266

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+57%
2019
$2.2M
-0%
2020
$2.2M
+79%
2021
$3.9M
-27%
2022
$2.9M
-20%
2023
$2.3M
-3%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 14% of total spending.

E1399Top 10%

Durable medical equipment, miscellaneous

$2.5M

1,410 claims · 14.5%

Your Cost: $1,767.66/claim|Median: $104.06
17.0× median
K0108Top 10%

Wheelchair component or accessory, NOS

$2.4M

5,632 claims · 14.0%

Your Cost: $428.15/claim|Median: $153.75
2.8× median
E1161Top 25%

$2.2M

5,177 claims · 12.9%

Your Cost: $427.43/claim|Median: $200.27
2.1× median
K0861Top 5%

$1.4M

274 claims · 8.1%

Your Cost: $5,066.87/claim|Median: $2,607.07
1.9× median
K0739Top 5%

$1.2M

6,347 claims · 6.7%

Your Cost: $182.26/claim|Median: $34.09
5.3× median
K0005Top 25%

$1.0M

662 claims · 6.0%

Your Cost: $1,570.66/claim|Median: $1,060.57
1.5× median
E2361Top 1%

$560K

1,578 claims · 3.3%

Your Cost: $355.11/claim|Median: $99.84
3.6× median
E2617Normal range

$503K

485 claims · 2.9%

Your Cost: $1,036.52/claim|Median: $939.89
1.1× median
E1007Normal range

$481K

107 claims · 2.8%

Your Cost: $4,493.87/claim|Median: $3,203.03
1.4× median
E0955Normal range

$429K

6,578 claims · 2.5%

Your Cost: $65.14/claim|Median: $43.51
1.5× median
E2620Top 25%

$419K

1,322 claims · 2.4%

Your Cost: $316.59/claim|Median: $232.23
1.4× median
E2607Top 25%

$392K

1,649 claims · 2.3%

Your Cost: $237.47/claim|Median: $150.23
1.6× median
E2311Normal range

$361K

337 claims · 2.1%

Your Cost: $1,069.94/claim|Median: $879.38
1.2× median
E0956Top 25%

$339K

2,059 claims · 2.0%

Your Cost: $164.77/claim|Median: $106.01
1.6× median
K0040Normal range

$284K

3,820 claims · 1.7%

Your Cost: $74.45/claim|Median: $62.90
1.2× median
E1028Normal range

$275K

5,427 claims · 1.6%

Your Cost: $50.59/claim|Median: $54.00
0.9× median
E1012Normal range

$261K

367 claims · 1.5%

Your Cost: $711.89/claim|Median: $491.22
1.4× median
E1002Normal range

$210K

108 claims · 1.2%

Your Cost: $1,948.92/claim|Median: $1,660.61
1.2× median
E2609Normal range

$169K

190 claims · 1.0%

Your Cost: $886.96/claim|Median: $840.30
1.1× median
E1236Top 5%

$165K

102 claims · 1.0%

Your Cost: $1,619.08/claim|Median: $389.45
4.2× median
E0960Top 25%

$159K

2,294 claims · 0.9%

Your Cost: $69.52/claim|Median: $58.78
1.2× median
E0971Top 25%

$154K

3,503 claims · 0.9%

Your Cost: $43.90/claim|Median: $13.46
3.3× median
K0856Top 25%

Power wheelchair, group three, heavy duty, sling seat

$152K

43 claims · 0.9%

Your Cost: $3,543.55/claim|Median: $3,459.32
1.0× median
E0950Top 25%

$115K

1,115 claims · 0.7%

Your Cost: $103.10/claim|Median: $67.43
1.5× median
E0973Normal range

$96K

1,600 claims · 0.6%

Your Cost: $59.95/claim|Median: $42.75
1.4× median
K0823Top 10%

Power wheelchair, Group 2

$91K

217 claims · 0.5%

Your Cost: $417.91/claim|Median: $95.35
4.4× median
E2386Top 10%

$86K

332 claims · 0.5%

Your Cost: $260.17/claim|Median: $99.07
2.6× median
E1234Top 1%

$77K

37 claims · 0.4%

Your Cost: $2,083.96/claim|Median: $1,532.79
1.4× median
E2615Normal range

$74K

234 claims · 0.4%

Your Cost: $318.25/claim|Median: $272.83
1.2× median
E2377Top 25%

$71K

243 claims · 0.4%

Your Cost: $290.68/claim|Median: $192.61
1.5× median
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