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Provider 1043212871

NPI: 1043212871Share
Active Billing Period:2018-01→2024-12(72 months)

Total Paid

$14.0M

$14,031,735

Total Claims

161K

Beneficiaries

135K

1.2 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2018
$10K
-98%
2019
$188
+94577%
2020
$178K
+825%
2021
$1.6M
+53%
2022
$2.5M
+69%
2023
$4.2M
+29%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 18% of total spending.

B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$2.5M

11K claims · 17.9%

Your Cost: $225.83/claim|Median: $117.24
1.9× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$2.3M

3,525 claims · 16.5%

Your Cost: $655.65/claim|Median: $465.86
1.4× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$1.5M

15K claims · 10.9%

Your Cost: $104.37/claim|Median: $55.51
1.9× median
B4160Top 25%

Enteral formula, per 100 calories

$998K

3,622 claims · 7.1%

Your Cost: $275.47/claim|Median: $157.30
1.8× median
E1390Top 10%

Oxygen concentrator, single delivery port

$679K

6,900 claims · 4.8%

Your Cost: $98.43/claim|Median: $45.11
2.2× median
A4606Normal range

$571K

9,394 claims · 4.1%

Your Cost: $60.83/claim|Median: $50.63
1.2× median
E0445Top 10%

$541K

1,873 claims · 3.9%

Your Cost: $288.64/claim|Median: $118.11
2.4× median
B4158Top 10%

$429K

1,705 claims · 3.1%

Your Cost: $251.84/claim|Median: $145.71
1.7× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$417K

678 claims · 3.0%

Your Cost: $615.60/claim|Median: $583.21
1.1× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$389K

994 claims · 2.8%

Your Cost: $391.84/claim|Median: $300.16
1.3× median
B9002Top 5%

$383K

1,975 claims · 2.7%

Your Cost: $194.03/claim|Median: $54.41
3.6× median
A6209Top 25%

$307K

2,396 claims · 2.2%

Your Cost: $128.10/claim|Median: $55.36
2.3× median
B4153Top 1%

$241K

148 claims · 1.7%

Your Cost: $1,631.14/claim|Median: $410.73
4.0× median
E0466Top 10%

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

$236K

348 claims · 1.7%

Your Cost: $677.31/claim|Median: $317.50
2.1× median
A6212Top 25%

$226K

1,343 claims · 1.6%

Your Cost: $168.28/claim|Median: $76.51
2.2× median
A4554Normal range

Disposable underpads, all sizes

$178K

4,935 claims · 1.3%

Your Cost: $36.11/claim|Median: $37.02
1.0× median
A4322Normal range

$148K

13K claims · 1.1%

Your Cost: $11.37/claim|Median: $14.10
0.8× median
B4154Top 5%

$147K

316 claims · 1.0%

Your Cost: $465.65/claim|Median: $132.96
3.5× median
K0001Top 10%

Standard wheelchair

$126K

3,960 claims · 0.9%

Your Cost: $31.93/claim|Median: $12.27
2.6× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$122K

1,183 claims · 0.9%

Your Cost: $103.38/claim|Median: $110.54
0.9× median
B4155Top 25%

$118K

963 claims · 0.8%

Your Cost: $122.91/claim|Median: $46.72
2.6× median
E0431Top 25%

Portable gaseous oxygen system, rental

$116K

6,795 claims · 0.8%

Your Cost: $17.14/claim|Median: $10.37
1.7× median
T4530Normal range

$110K

1,367 claims · 0.8%

Your Cost: $80.69/claim|Median: $83.90
1.0× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$96K

6,403 claims · 0.7%

Your Cost: $14.92/claim|Median: $28.63
0.5× median
A6234Normal range

$92K

4,759 claims · 0.7%

Your Cost: $19.37/claim|Median: $42.35
0.5× median
A7000Top 25%

$87K

3,946 claims · 0.6%

Your Cost: $22.05/claim|Median: $11.83
1.9× median
A4624Normal range

$77K

729 claims · 0.5%

Your Cost: $105.36/claim|Median: $107.53
1.0× median
A4605Normal range

$71K

634 claims · 0.5%

Your Cost: $111.67/claim|Median: $121.51
0.9× median
A6258Normal range

$65K

4,857 claims · 0.5%

Your Cost: $13.47/claim|Median: $28.94
0.5× median
A4629Normal range

$59K

767 claims · 0.4%

Your Cost: $77.32/claim|Median: $54.42
1.4× median
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