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Provider 1043276819

NPI: 1043276819Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.6M

$12,588,508

Total Claims

266K

Beneficiaries

253K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-44%
2019
$1.5M
-10%
2020
$1.4M
+12%
2021
$1.5M
+18%
2022
$1.8M
+6%
2023
$1.9M
-3%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (E0601 (Continuous positive airway pressure (CPAP) device)) accounts for 23% of total spending.

E0601Top 5%

Continuous positive airway pressure (CPAP) device

$2.9M

33K claims · 23.2%

Your Cost: $89.95/claim|Median: $35.30
2.5× median
E0562Top 5%

Humidifier, heated, used with positive airway pressure device

$1.3M

8,105 claims · 10.4%

Your Cost: $160.78/claim|Median: $18.68
8.6× median
A7030Top 25%

Full face mask for CPAP device

$1.2M

14K claims · 9.8%

Your Cost: $87.31/claim|Median: $56.36
1.5× median
A7034Top 25%

$1.2M

20K claims · 9.4%

Your Cost: $60.15/claim|Median: $35.90
1.7× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.2M

21K claims · 9.2%

Your Cost: $54.58/claim|Median: $45.11
1.2× median
A4604Top 25%

$1.1M

32K claims · 8.4%

Your Cost: $33.43/claim|Median: $22.01
1.5× median
A7035Top 10%

$607K

27K claims · 4.8%

Your Cost: $22.53/claim|Median: $13.01
1.7× median
E0466Normal range

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

$573K

1,300 claims · 4.6%

Your Cost: $440.92/claim|Median: $317.50
1.4× median
E0470Top 25%

$570K

4,225 claims · 4.5%

Your Cost: $135.01/claim|Median: $81.45
1.7× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$517K

1,854 claims · 4.1%

Your Cost: $278.98/claim|Median: $210.29
1.3× median
A7038Top 25%

$220K

35K claims · 1.7%

Your Cost: $6.31/claim|Median: $3.53
1.8× median
A7031Normal range

$217K

8,598 claims · 1.7%

Your Cost: $25.19/claim|Median: $25.17
1.0× median
E1392Top 25%

$191K

11K claims · 1.5%

Your Cost: $17.77/claim|Median: $10.81
1.6× median
A7046Top 25%

Water collection device for humidifier, each

$170K

16K claims · 1.3%

Your Cost: $10.86/claim|Median: $6.86
1.6× median
K0738Normal range

$162K

7,476 claims · 1.3%

Your Cost: $21.69/claim|Median: $17.69
1.2× median
A7032Normal range

$128K

5,353 claims · 1.0%

Your Cost: $23.96/claim|Median: $25.48
0.9× median
E0570Normal range

Nebulizer, with compressor

$120K

4,820 claims · 0.9%

Your Cost: $24.80/claim|Median: $16.16
1.5× median
A7033Normal range

$84K

4,765 claims · 0.7%

Your Cost: $17.71/claim|Median: $20.57
0.9× median
A7039Top 25%

$49K

5,938 claims · 0.4%

Your Cost: $8.22/claim|Median: $4.54
1.8× median
A7005Top 25%

$29K

1,600 claims · 0.2%

Your Cost: $17.97/claim|Median: $12.44
1.4× median
E0482Top 10%

$25K

63 claims · 0.2%

Your Cost: $404.69/claim|Median: $246.17
1.6× median
A7036Top 25%

$25K

2,493 claims · 0.2%

Your Cost: $9.91/claim|Median: $7.69
1.3× median
A7037Top 25%

$12K

580 claims · 0.1%

Your Cost: $20.59/claim|Median: $10.56
1.9× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$12K

185 claims · 0.1%

Your Cost: $63.49/claim|Median: $73.75
0.9× median
E0600Normal range

$9K

286 claims · 0.1%

Your Cost: $32.72/claim|Median: $25.31
1.3× median
A4606Normal range

$733

18 claims · 0.0%

Your Cost: $40.73/claim|Median: $50.63
0.8× median
A7003Normal range

Administration set for nebulizer, with small volume

$131

485 claims · 0.0%

Your Cost: $0.27/claim|Median: $1.48
0.2× median
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