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Provider 1003980988

NPI: 1003980988Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,207,934

Total Claims

51K

Beneficiaries

39K

1.3 claims/patient

Avg Cost/Claim

$161

Monthly Spending Trend

Yearly Spending

2018
$683K
+38%
2019
$941K
-4%
2020
$900K
+65%
2021
$1.5M
-8%
2022
$1.4M
+14%
2023
$1.5M
-17%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (L1960) accounts for 20% of total spending.

L1960Top 25%

$1.7M

2,725 claims · 20.1%

Your Cost: $606.47/claim|Median: $395.95
1.5× median
L1970Top 25%

$1.1M

1,749 claims · 13.8%

Your Cost: $648.41/claim|Median: $447.43
1.4× median
L2275Top 25%

$1.0M

7,408 claims · 12.4%

Your Cost: $137.59/claim|Median: $81.97
1.7× median
L2280Top 10%

$909K

1,725 claims · 11.1%

Your Cost: $527.06/claim|Median: $292.43
1.8× median
L2820Top 10%

$690K

7,299 claims · 8.4%

Your Cost: $94.49/claim|Median: $56.23
1.7× median
L3000Top 25%

Foot insert, removable, molded to patient model

$254K

852 claims · 3.1%

Your Cost: $297.79/claim|Median: $205.41
1.4× median
L2999Top 25%

$214K

2,321 claims · 2.6%

Your Cost: $92.09/claim|Median: $47.06
2.0× median
L2755Normal range

$190K

1,575 claims · 2.3%

Your Cost: $120.68/claim|Median: $84.81
1.4× median
L2210Top 10%

$159K

1,379 claims · 1.9%

Your Cost: $115.14/claim|Median: $62.19
1.9× median
A6533Normal range

$143K

1,832 claims · 1.7%

Your Cost: $77.85/claim|Median: $74.92
1.0× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$140K

3,852 claims · 1.7%

Your Cost: $36.23/claim|Median: $33.21
1.1× median
L2232Normal range

$136K

1,345 claims · 1.7%

Your Cost: $101.35/claim|Median: $67.22
1.5× median
A6530Normal range

$135K

2,332 claims · 1.6%

Your Cost: $57.73/claim|Median: $49.70
1.2× median
L2220Normal range

$117K

1,332 claims · 1.4%

Your Cost: $88.17/claim|Median: $79.20
1.1× median
S1040Normal range

Cranial remolding orthosis, per device

$104K

54 claims · 1.3%

Your Cost: $1,928.84/claim|Median: $1,936.44
1.0× median
L2768Top 25%

$103K

743 claims · 1.2%

Your Cost: $137.99/claim|Median: $78.01
1.8× median
L5679Top 25%

$95K

166 claims · 1.2%

Your Cost: $569.71/claim|Median: $427.04
1.3× median
L1930Top 5%

$85K

269 claims · 1.0%

Your Cost: $317.78/claim|Median: $144.40
2.2× median
L1907Top 25%

$83K

140 claims · 1.0%

Your Cost: $594.94/claim|Median: $399.34
1.5× median
L3908Top 25%

$71K

1,409 claims · 0.9%

Your Cost: $50.19/claim|Median: $35.79
1.4× median
L3540Normal range

$58K

1,098 claims · 0.7%

Your Cost: $53.27/claim|Median: $47.49
1.1× median
L5637Top 25%

$57K

286 claims · 0.7%

Your Cost: $197.58/claim|Median: $126.39
1.6× median
L8420Top 10%

$54K

386 claims · 0.7%

Your Cost: $140.18/claim|Median: $49.62
2.8× median
L1820Normal range

$46K

545 claims · 0.6%

Your Cost: $84.55/claim|Median: $73.16
1.2× median
L2270Top 25%

$45K

868 claims · 0.5%

Your Cost: $51.50/claim|Median: $36.90
1.4× median
L5940Top 25%

$44K

141 claims · 0.5%

Your Cost: $314.16/claim|Median: $185.49
1.7× median
L5629Top 25%

$42K

232 claims · 0.5%

Your Cost: $179.02/claim|Median: $115.47
1.6× median
A5513Normal range

Diabetic therapeutic shoe, each, custom molded

$41K

1,646 claims · 0.5%

Your Cost: $24.85/claim|Median: $40.80
0.6× median
L4361Normal range

$35K

250 claims · 0.4%

Your Cost: $139.59/claim|Median: $161.24
0.9× median
L5673Top 25%

$34K

48 claims · 0.4%

Your Cost: $700.03/claim|Median: $425.42
1.6× median
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