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Provider 1013915933

NPI: 1013915933Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.4M

$18,395,308

Total Claims

328K

Beneficiaries

236K

1.4 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+16%
2019
$2.2M
+17%
2020
$2.6M
+10%
2021
$2.8M
+9%
2022
$3.1M
-5%
2023
$2.9M
+3%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S8189) accounts for 15% of total spending.

S8189Top 10%

$2.8M

6,814 claims · 15.4%

Your Cost: $416.62/claim|Median: $81.07
5.1× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$2.3M

3,904 claims · 12.6%

Your Cost: $593.50/claim|Median: $583.21
1.0× median
E0445Top 25%

$1.4M

6,890 claims · 7.7%

Your Cost: $206.14/claim|Median: $118.11
1.7× median
A4605Top 25%

$1.3M

4,296 claims · 7.2%

Your Cost: $306.37/claim|Median: $121.51
2.5× median
E1390Top 10%

Oxygen concentrator, single delivery port

$1.2M

12K claims · 6.3%

Your Cost: $97.29/claim|Median: $45.11
2.2× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$1.1M

17K claims · 6.0%

Your Cost: $64.74/claim|Median: $35.30
1.8× median
A4606Normal range

$879K

25K claims · 4.8%

Your Cost: $35.53/claim|Median: $50.63
0.7× median
E0466Top 25%

Home ventilator, any type, used with non-invasive interface

$810K

1,702 claims · 4.4%

Your Cost: $475.68/claim|Median: $317.50
1.5× median
A4624Normal range

$618K

5,185 claims · 3.4%

Your Cost: $119.23/claim|Median: $107.53
1.1× median
A4483Normal range

$593K

11K claims · 3.2%

Your Cost: $53.65/claim|Median: $91.41
0.6× median
A7031Top 25%

$534K

15K claims · 2.9%

Your Cost: $36.03/claim|Median: $25.17
1.4× median
A9900Normal range

$522K

10K claims · 2.8%

Your Cost: $50.59/claim|Median: $58.14
0.9× median
A7030Top 25%

Full face mask for CPAP device

$411K

5,071 claims · 2.2%

Your Cost: $81.01/claim|Median: $56.36
1.4× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$375K

7,283 claims · 2.0%

Your Cost: $51.48/claim|Median: $55.51
0.9× median
A7032Top 25%

$364K

7,637 claims · 2.0%

Your Cost: $47.62/claim|Median: $25.48
1.9× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$363K

14K claims · 2.0%

Your Cost: $26.39/claim|Median: $18.68
1.4× median
E0470Top 25%

$289K

2,161 claims · 1.6%

Your Cost: $133.84/claim|Median: $81.45
1.6× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$286K

2,660 claims · 1.6%

Your Cost: $107.70/claim|Median: $117.24
0.9× median
A7037Top 25%

$227K

12K claims · 1.2%

Your Cost: $18.85/claim|Median: $10.56
1.8× median
A7034Top 25%

$203K

3,473 claims · 1.1%

Your Cost: $58.35/claim|Median: $35.90
1.6× median
A7038Top 25%

$164K

27K claims · 0.9%

Your Cost: $6.07/claim|Median: $3.53
1.7× median
A7526Normal range

$159K

7,111 claims · 0.9%

Your Cost: $22.31/claim|Median: $33.61
0.7× median
A7035Top 25%

$151K

8,214 claims · 0.8%

Your Cost: $18.43/claim|Median: $13.01
1.4× median
A4629Normal range

$145K

6,323 claims · 0.8%

Your Cost: $22.91/claim|Median: $54.42
0.4× median
E0431Normal range

Portable gaseous oxygen system, rental

$134K

11K claims · 0.7%

Your Cost: $12.38/claim|Median: $10.37
1.2× median
A7000Normal range

$126K

10K claims · 0.7%

Your Cost: $12.45/claim|Median: $11.83
1.1× median
E0600Normal range

$102K

2,813 claims · 0.6%

Your Cost: $36.15/claim|Median: $25.31
1.4× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$92K

347 claims · 0.5%

Your Cost: $266.56/claim|Median: $465.86
0.6× median
A4322Top 25%

$69K

1,894 claims · 0.4%

Your Cost: $36.25/claim|Median: $14.10
2.6× median
A7033Top 25%

$67K

1,989 claims · 0.4%

Your Cost: $33.64/claim|Median: $20.57
1.6× median
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