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Provider 1013934694

NPI: 1013934694Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.6M

$10,628,129

Total Claims

183K

Beneficiaries

162K

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$456K
+110%
2019
$959K
+49%
2020
$1.4M
+28%
2021
$1.8M
-48%
2022
$948K
+118%
2023
$2.1M
+42%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0465 (Home ventilator, any type, used with invasive interface)) accounts for 14% of total spending.

E0465Top 5%

Home ventilator, any type, used with invasive interface

$1.4M

1,269 claims · 13.5%

Your Cost: $1,134.18/claim|Median: $583.21
1.9× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$1.2M

23K claims · 11.4%

Your Cost: $53.14/claim|Median: $35.30
1.5× median
E1390Top 25%

Oxygen concentrator, single delivery port

$1.0M

15K claims · 9.7%

Your Cost: $69.72/claim|Median: $45.11
1.5× median
E0424Normal range

$989K

11K claims · 9.3%

Your Cost: $93.10/claim|Median: $81.60
1.1× median
E0260Top 10%

Hospital bed, semi-electric

$625K

9,402 claims · 5.9%

Your Cost: $66.48/claim|Median: $23.07
2.9× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$528K

4,254 claims · 5.0%

Your Cost: $124.12/claim|Median: $117.24
1.1× median
E0471Top 25%

Respiratory assist device, bi-level with backup rate

$474K

1,468 claims · 4.5%

Your Cost: $323.04/claim|Median: $210.29
1.5× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$460K

27K claims · 4.3%

Your Cost: $17.07/claim|Median: $18.68
0.9× median
A7030Top 10%

Full face mask for CPAP device

$379K

3,533 claims · 3.6%

Your Cost: $107.41/claim|Median: $56.36
1.9× median
B9002Top 25%

$330K

3,767 claims · 3.1%

Your Cost: $87.49/claim|Median: $54.41
1.6× median
A7034Top 25%

$288K

4,580 claims · 2.7%

Your Cost: $62.90/claim|Median: $35.90
1.8× median
E0445Normal range

$274K

2,434 claims · 2.6%

Your Cost: $112.53/claim|Median: $118.11
1.0× median
A4624Normal range

$256K

1,954 claims · 2.4%

Your Cost: $131.11/claim|Median: $107.53
1.2× median
K0001Top 10%

Standard wheelchair

$224K

7,519 claims · 2.1%

Your Cost: $29.84/claim|Median: $12.27
2.4× median
E0470Normal range

$199K

2,565 claims · 1.9%

Your Cost: $77.53/claim|Median: $81.45
1.0× median
A4629Top 25%

$185K

2,042 claims · 1.7%

Your Cost: $90.41/claim|Median: $54.42
1.7× median
E0431Top 25%

Portable gaseous oxygen system, rental

$153K

9,359 claims · 1.4%

Your Cost: $16.34/claim|Median: $10.37
1.6× median
A7035Top 25%

$150K

7,719 claims · 1.4%

Your Cost: $19.49/claim|Median: $13.01
1.5× median
A7037Top 25%

$148K

7,945 claims · 1.4%

Your Cost: $18.69/claim|Median: $10.56
1.8× median
B4154Top 25%

$106K

444 claims · 1.0%

Your Cost: $239.09/claim|Median: $132.96
1.8× median
E1392Top 1%

$103K

41 claims · 1.0%

Your Cost: $2,500.00/claim|Median: $10.81
231.3× median
B4153Normal range

$100K

275 claims · 0.9%

Your Cost: $364.89/claim|Median: $410.73
0.9× median
A7526Top 10%

$92K

1,112 claims · 0.9%

Your Cost: $82.65/claim|Median: $33.61
2.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$91K

839 claims · 0.9%

Your Cost: $108.90/claim|Median: $92.20
1.2× median
A7520Top 10%

$89K

699 claims · 0.8%

Your Cost: $127.15/claim|Median: $49.59
2.6× median
E0600Normal range

$61K

1,998 claims · 0.6%

Your Cost: $30.28/claim|Median: $25.31
1.2× median
B4161Top 5%

Enteral formula, semisolid, 100 calories = 1 unit

$59K

63 claims · 0.6%

Your Cost: $932.72/claim|Median: $465.86
2.0× median
B4034Normal range

$56K

865 claims · 0.5%

Your Cost: $64.45/claim|Median: $46.28
1.4× median
A7038Top 5%

$49K

5,127 claims · 0.5%

Your Cost: $9.61/claim|Median: $3.53
2.7× median
E1399Normal range

Durable medical equipment, miscellaneous

$48K

525 claims · 0.4%

Your Cost: $90.60/claim|Median: $104.06
0.9× median
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