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Provider 1033103023

NPI: 1033103023Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.4M

$10,435,342

Total Claims

14K

Beneficiaries

9,943

1.4 claims/patient

Avg Cost/Claim

$750

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+22%
2019
$2.1M
-24%
2020
$1.6M
-8%
2021
$1.5M
+1%
2022
$1.5M
-13%
2023
$1.3M
-59%
2024
$552K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1220) accounts for 45% of total spending.

E1220Top 25%

$4.7M

731 claims · 45.2%

Your Cost: $6,446.45/claim|Median: $5,744.08
1.1× median
K0108Top 1%

Wheelchair component or accessory, NOS

$2.6M

2,131 claims · 24.8%

Your Cost: $1,215.37/claim|Median: $153.75
7.9× median
E1399Top 5%

Durable medical equipment, miscellaneous

$1.9M

591 claims · 18.3%

Your Cost: $3,236.12/claim|Median: $104.06
31.1× median
E0240Top 10%

$495K

334 claims · 4.7%

Your Cost: $1,481.27/claim|Median: $62.75
23.6× median
K0005Normal range

$256K

191 claims · 2.5%

Your Cost: $1,338.71/claim|Median: $1,060.57
1.3× median
E1161Normal range

$87K

885 claims · 0.8%

Your Cost: $98.22/claim|Median: $200.27
0.5× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$80K

1,900 claims · 0.8%

Your Cost: $41.99/claim|Median: $35.30
1.2× median
E0973Top 25%

$60K

675 claims · 0.6%

Your Cost: $89.08/claim|Median: $42.75
2.1× median
E2607Normal range

$50K

323 claims · 0.5%

Your Cost: $155.70/claim|Median: $150.23
1.0× median
E2620Normal range

$35K

156 claims · 0.3%

Your Cost: $225.82/claim|Median: $232.23
1.0× median
K0040Top 25%

$34K

400 claims · 0.3%

Your Cost: $85.49/claim|Median: $62.90
1.4× median
E0971Top 25%

$24K

478 claims · 0.2%

Your Cost: $51.23/claim|Median: $13.46
3.8× median
E1028Normal range

$21K

1,388 claims · 0.2%

Your Cost: $14.99/claim|Median: $54.00
0.3× median
E0265Top 5%

$14K

13 claims · 0.1%

Your Cost: $1,065.87/claim|Median: $41.12
25.9× median
A7034Top 25%

$12K

213 claims · 0.1%

Your Cost: $56.70/claim|Median: $35.90
1.6× median
E0955Normal range

$7K

844 claims · 0.1%

Your Cost: $8.73/claim|Median: $43.51
0.2× median
A7037Normal range

$7K

422 claims · 0.1%

Your Cost: $15.88/claim|Median: $10.56
1.5× median
A7035Normal range

$7K

396 claims · 0.1%

Your Cost: $16.82/claim|Median: $13.01
1.3× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$6K

148 claims · 0.1%

Your Cost: $42.79/claim|Median: $18.68
2.3× median
A7032Normal range

$5K

248 claims · 0.0%

Your Cost: $19.29/claim|Median: $25.48
0.8× median
E0630Top 5%

$4K

32 claims · 0.0%

Your Cost: $129.04/claim|Median: $23.70
5.4× median
E0978Normal range

$4K

178 claims · 0.0%

Your Cost: $19.81/claim|Median: $14.50
1.4× median
E2213Top 25%

$3K

71 claims · 0.0%

Your Cost: $43.01/claim|Median: $32.15
1.3× median
E2211Normal range

$2K

54 claims · 0.0%

Your Cost: $36.81/claim|Median: $35.48
1.0× median
E2219Top 25%

$2K

30 claims · 0.0%

Your Cost: $64.86/claim|Median: $45.63
1.4× median
A7038Normal range

$2K

676 claims · 0.0%

Your Cost: $2.64/claim|Median: $3.53
0.7× median
E0951Top 25%

$1K

70 claims · 0.0%

Your Cost: $19.08/claim|Median: $9.88
1.9× median
E2363Normal range

$1K

19 claims · 0.0%

Your Cost: $55.15/claim|Median: $152.83
0.4× median
K0739Normal range

$898

236 claims · 0.0%

Your Cost: $3.80/claim|Median: $34.09
0.1× median
E2377Normal range

$355

14 claims · 0.0%

Your Cost: $25.38/claim|Median: $192.61
0.1× median
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