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Provider 1033267901

NPI: 1033267901Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.6M

$15,598,176

Total Claims

227K

Beneficiaries

160K

1.4 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+1%
2019
$2.8M
-10%
2020
$2.5M
-11%
2021
$2.2M
-14%
2022
$1.9M
-5%
2023
$1.8M
-18%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4154) accounts for 21% of total spending.

B4154Normal range

$3.2M

29K claims · 20.8%

Your Cost: $110.27/claim|Median: $132.96
0.8× median
B4160Normal range

Enteral formula, per 100 calories

$2.5M

22K claims · 16.1%

Your Cost: $114.31/claim|Median: $157.30
0.7× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.8M

3,656 claims · 11.4%

Your Cost: $485.62/claim|Median: $465.86
1.0× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$1.2M

15K claims · 7.8%

Your Cost: $81.51/claim|Median: $92.20
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$1.1M

20K claims · 7.3%

Your Cost: $58.18/claim|Median: $89.79
0.6× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.0M

12K claims · 6.7%

Your Cost: $90.05/claim|Median: $117.24
0.8× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$645K

12K claims · 4.1%

Your Cost: $52.51/claim|Median: $55.51
0.9× median
E0601Top 10%

Continuous positive airway pressure (CPAP) device

$607K

8,064 claims · 3.9%

Your Cost: $75.22/claim|Median: $35.30
2.1× median
E0570Top 25%

Nebulizer, with compressor

$433K

9,658 claims · 2.8%

Your Cost: $44.88/claim|Median: $16.16
2.8× median
B4034Normal range

$257K

6,418 claims · 1.6%

Your Cost: $40.07/claim|Median: $46.28
0.9× median
E1390Top 25%

Oxygen concentrator, single delivery port

$246K

3,624 claims · 1.6%

Your Cost: $68.01/claim|Median: $45.11
1.5× median
E0470Top 5%

$244K

1,309 claims · 1.6%

Your Cost: $186.69/claim|Median: $81.45
2.3× median
B4153Normal range

$222K

6,891 claims · 1.4%

Your Cost: $32.28/claim|Median: $410.73
0.1× median
A7031Top 25%

$208K

5,000 claims · 1.3%

Your Cost: $41.56/claim|Median: $25.17
1.7× median
A7030Top 25%

Full face mask for CPAP device

$199K

2,065 claims · 1.3%

Your Cost: $96.18/claim|Median: $56.36
1.7× median
B4102Normal range

$187K

5,347 claims · 1.2%

Your Cost: $34.98/claim|Median: $65.22
0.5× median
B9002Normal range

$185K

3,710 claims · 1.2%

Your Cost: $49.91/claim|Median: $54.41
0.9× median
B4155Normal range

$159K

3,884 claims · 1.0%

Your Cost: $40.97/claim|Median: $46.72
0.9× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$156K

8,654 claims · 1.0%

Your Cost: $18.03/claim|Median: $18.68
1.0× median
T4534Top 25%

Adult-sized disposable underpads/pads, small

$150K

1,111 claims · 1.0%

Your Cost: $135.00/claim|Median: $110.54
1.2× median
A7037Top 10%

$108K

4,407 claims · 0.7%

Your Cost: $24.62/claim|Median: $10.56
2.3× median
A7034Top 10%

$92K

1,335 claims · 0.6%

Your Cost: $69.20/claim|Median: $35.90
1.9× median
A7032Top 10%

$86K

1,521 claims · 0.6%

Your Cost: $56.57/claim|Median: $25.48
2.2× median
A7038Top 10%

$75K

10K claims · 0.5%

Your Cost: $7.30/claim|Median: $3.53
2.1× median
A7035Top 10%

$72K

3,228 claims · 0.5%

Your Cost: $22.20/claim|Median: $13.01
1.7× median
T4522Normal range

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

$54K

559 claims · 0.3%

Your Cost: $96.48/claim|Median: $84.50
1.1× median
A7033Top 25%

$41K

1,070 claims · 0.3%

Your Cost: $38.65/claim|Median: $20.57
1.9× median
A4322Normal range

$41K

1,590 claims · 0.3%

Your Cost: $25.82/claim|Median: $14.10
1.8× median
K0001Normal range

Standard wheelchair

$41K

1,971 claims · 0.3%

Your Cost: $20.58/claim|Median: $12.27
1.7× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$31K

603 claims · 0.2%

Your Cost: $51.87/claim|Median: $31.59
1.6× median
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