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Provider 1023143930

NPI: 1023143930Share
Active Billing Period:2020-03→2024-12(57 months)

Total Paid

$10.6M

$10,553,400

Total Claims

127K

Beneficiaries

113K

1.1 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2020
$441K
+480%
2021
$2.6M
+4%
2022
$2.7M
-0%
2023
$2.7M
-16%
2024
$2.2M

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 15% of total spending.

E0465Normal range

Home ventilator, any type, used with invasive interface

$1.6M

2,203 claims · 14.8%

Your Cost: $706.75/claim|Median: $583.21
1.2× median
B4161Top 10%

Enteral formula, semisolid, 100 calories = 1 unit

$1.3M

1,570 claims · 12.1%

Your Cost: $816.49/claim|Median: $465.86
1.8× median
E0466Top 5%

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

$1.3M

1,672 claims · 11.9%

Your Cost: $754.19/claim|Median: $317.50
2.4× median
B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$1.0M

3,808 claims · 9.8%

Your Cost: $271.34/claim|Median: $117.24
2.3× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$702K

6,968 claims · 6.7%

Your Cost: $100.80/claim|Median: $55.51
1.8× median
E1390Top 5%

Oxygen concentrator, single delivery port

$567K

5,125 claims · 5.4%

Your Cost: $110.73/claim|Median: $45.11
2.5× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$447K

1,569 claims · 4.2%

Your Cost: $284.98/claim|Median: $300.16
0.9× median
B4160Top 25%

Enteral formula, per 100 calories

$423K

1,693 claims · 4.0%

Your Cost: $249.85/claim|Median: $157.30
1.6× median
A4606Top 25%

$357K

3,541 claims · 3.4%

Your Cost: $100.76/claim|Median: $50.63
2.0× median
E0482Normal range

$338K

1,527 claims · 3.2%

Your Cost: $221.26/claim|Median: $246.17
0.9× median
B4155Top 25%

$241K

1,257 claims · 2.3%

Your Cost: $191.92/claim|Median: $46.72
4.1× median
A4554Normal range

Disposable underpads, all sizes

$213K

6,634 claims · 2.0%

Your Cost: $32.12/claim|Median: $37.02
0.9× median
A4629Normal range

$157K

2,058 claims · 1.5%

Your Cost: $76.44/claim|Median: $54.42
1.4× median
A4624Normal range

$156K

1,405 claims · 1.5%

Your Cost: $111.03/claim|Median: $107.53
1.0× median
A7000Top 10%

$138K

3,813 claims · 1.3%

Your Cost: $36.20/claim|Median: $11.83
3.1× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$122K

1,080 claims · 1.2%

Your Cost: $112.83/claim|Median: $110.54
1.0× median
A4605Normal range

$108K

895 claims · 1.0%

Your Cost: $120.64/claim|Median: $121.51
1.0× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$107K

1,097 claims · 1.0%

Your Cost: $97.58/claim|Median: $84.50
1.2× median
A4322Normal range

$104K

4,177 claims · 1.0%

Your Cost: $24.89/claim|Median: $14.10
1.8× median
T4530Normal range

$100K

1,106 claims · 0.9%

Your Cost: $89.97/claim|Median: $83.90
1.1× median
E0445Normal range

$96K

851 claims · 0.9%

Your Cost: $112.96/claim|Median: $118.11
1.0× median
E0431Top 25%

Portable gaseous oxygen system, rental

$93K

4,787 claims · 0.9%

Your Cost: $19.45/claim|Median: $10.37
1.9× median
A7520Normal range

$71K

1,438 claims · 0.7%

Your Cost: $49.19/claim|Median: $49.59
1.0× median
A9900Normal range

$67K

4,265 claims · 0.6%

Your Cost: $15.69/claim|Median: $58.14
0.3× median
A7002Top 5%

$65K

3,915 claims · 0.6%

Your Cost: $16.50/claim|Median: $4.97
3.3× median
A7526Normal range

$60K

2,382 claims · 0.6%

Your Cost: $25.32/claim|Median: $33.61
0.8× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$53K

538 claims · 0.5%

Your Cost: $97.73/claim|Median: $96.13
1.0× median
B4150Top 5%

Enteral formula, nutritionally complete with fiber, per 100 calories

$48K

214 claims · 0.5%

Your Cost: $223.20/claim|Median: $89.79
2.5× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$46K

725 claims · 0.4%

Your Cost: $63.55/claim|Median: $35.30
1.8× median
A4216Top 25%

$44K

1,945 claims · 0.4%

Your Cost: $22.66/claim|Median: $8.45
2.7× median
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