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Provider 1053347344

NPI: 1053347344Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.9M

$11,884,740

Total Claims

561K

Beneficiaries

457K

1.2 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-9%
2019
$1.6M
-7%
2020
$1.5M
+17%
2021
$1.7M
+17%
2022
$2.0M
-13%
2023
$1.7M
-5%
2024
$1.7M

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 37% of total spending.

E0465Normal range

Home ventilator, any type, used with invasive interface

$4.4M

7,045 claims · 37.3%

Your Cost: $628.99/claim|Median: $583.21
1.1× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.8M

48K claims · 15.0%

Your Cost: $36.97/claim|Median: $45.11
0.8× median
E0466Top 25%

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

$1.3M

2,477 claims · 11.3%

Your Cost: $544.55/claim|Median: $317.50
1.7× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$973K

58K claims · 8.2%

Your Cost: $16.84/claim|Median: $117.24
0.1× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$813K

41K claims · 6.8%

Your Cost: $19.98/claim|Median: $92.20
0.2× median
B4154Normal range

$703K

19K claims · 5.9%

Your Cost: $36.08/claim|Median: $132.96
0.3× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$282K

13K claims · 2.4%

Your Cost: $21.55/claim|Median: $89.79
0.2× median
B9002Normal range

$220K

24K claims · 1.9%

Your Cost: $8.98/claim|Median: $54.41
0.2× median
B4034Normal range

$168K

15K claims · 1.4%

Your Cost: $10.88/claim|Median: $46.28
0.2× median
A4623Normal range

$152K

12K claims · 1.3%

Your Cost: $13.14/claim|Median: $60.83
0.2× median
A4314Normal range

$96K

59K claims · 0.8%

Your Cost: $1.64/claim|Median: $5.42
0.3× median
A4629Normal range

$66K

8,861 claims · 0.6%

Your Cost: $7.46/claim|Median: $54.42
0.1× median
A6196Normal range

$63K

5,373 claims · 0.5%

Your Cost: $11.67/claim|Median: $71.68
0.2× median
A4414Normal range

$62K

9,024 claims · 0.5%

Your Cost: $6.93/claim|Median: $48.85
0.1× median
A4357Normal range

Bedside drainage bag, day or night

$62K

70K claims · 0.5%

Your Cost: $0.88/claim|Median: $7.46
0.1× median
A6021Normal range

$54K

2,264 claims · 0.5%

Your Cost: $24.01/claim|Median: $111.06
0.2× median
A7526Normal range

$53K

9,589 claims · 0.4%

Your Cost: $5.53/claim|Median: $33.61
0.2× median
A4409Normal range

$46K

6,193 claims · 0.4%

Your Cost: $7.37/claim|Median: $61.38
0.1× median
A5063Normal range

$43K

13K claims · 0.4%

Your Cost: $3.38/claim|Median: $27.93
0.1× median
E0776Normal range

$41K

41K claims · 0.3%

Your Cost: $1.00/claim|Median: $8.13
0.1× median
B4153Normal range

$36K

429 claims · 0.3%

Your Cost: $82.96/claim|Median: $410.73
0.2× median
B4036Normal range

$34K

1,729 claims · 0.3%

Your Cost: $19.58/claim|Median: $74.87
0.3× median
A6197Normal range

$33K

1,130 claims · 0.3%

Your Cost: $29.48/claim|Median: $156.22
0.2× median
A4407Normal range

$29K

2,479 claims · 0.2%

Your Cost: $11.76/claim|Median: $73.73
0.2× median
A6010Normal range

$23K

789 claims · 0.2%

Your Cost: $28.77/claim|Median: $131.56
0.2× median
A4425Normal range

$21K

4,452 claims · 0.2%

Your Cost: $4.78/claim|Median: $38.79
0.1× median
A6212Normal range

$21K

3,080 claims · 0.2%

Your Cost: $6.80/claim|Median: $76.51
0.1× median
A6252Normal range

$19K

2,827 claims · 0.2%

Your Cost: $6.71/claim|Median: $46.15
0.1× median
A6446Normal range

$18K

8,059 claims · 0.2%

Your Cost: $2.29/claim|Median: $14.64
0.2× median
A4388Normal range

$16K

2,427 claims · 0.1%

Your Cost: $6.71/claim|Median: $43.75
0.2× median