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Provider 1053400960

NPI: 1053400960Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,485,498

Total Claims

266K

Beneficiaries

219K

1.2 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+15%
2019
$2.4M
-20%
2020
$1.9M
+18%
2021
$2.3M
+17%
2022
$2.7M
-2%
2023
$2.6M
-5%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 14% of total spending.

E1390Top 10%

Oxygen concentrator, single delivery port

$2.4M

26K claims · 14.3%

Your Cost: $92.19/claim|Median: $45.11
2.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.6M

11K claims · 9.9%

Your Cost: $151.42/claim|Median: $117.24
1.3× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$1.0M

2,161 claims · 6.1%

Your Cost: $466.31/claim|Median: $583.21
0.8× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$956K

2,399 claims · 5.8%

Your Cost: $398.60/claim|Median: $465.86
0.9× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$733K

12K claims · 4.4%

Your Cost: $60.59/claim|Median: $55.51
1.1× median
E0570Top 25%

Nebulizer, with compressor

$617K

11K claims · 3.7%

Your Cost: $53.77/claim|Median: $16.16
3.3× median
A7030Top 10%

Full face mask for CPAP device

$536K

5,288 claims · 3.3%

Your Cost: $101.41/claim|Median: $56.36
1.8× median
B4160Normal range

Enteral formula, per 100 calories

$507K

4,324 claims · 3.1%

Your Cost: $117.31/claim|Median: $157.30
0.7× median
E0445Top 25%

$496K

2,110 claims · 3.0%

Your Cost: $235.21/claim|Median: $118.11
2.0× median
B4088Top 10%

$480K

3,432 claims · 2.9%

Your Cost: $139.75/claim|Median: $73.20
1.9× median
E0601Top 10%

Continuous positive airway pressure (CPAP) device

$479K

6,498 claims · 2.9%

Your Cost: $73.75/claim|Median: $35.30
2.1× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$459K

2,053 claims · 2.8%

Your Cost: $223.71/claim|Median: $300.16
0.7× median
A7031Top 5%

$448K

6,869 claims · 2.7%

Your Cost: $65.23/claim|Median: $25.17
2.6× median
K0738Normal range

$306K

12K claims · 1.9%

Your Cost: $24.82/claim|Median: $17.69
1.4× median
T4530Top 5%

$305K

1,794 claims · 1.8%

Your Cost: $169.86/claim|Median: $83.90
2.0× median
T4522Top 10%

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

$258K

2,036 claims · 1.6%

Your Cost: $126.67/claim|Median: $84.50
1.5× median
B9002Top 25%

$242K

2,551 claims · 1.5%

Your Cost: $94.81/claim|Median: $54.41
1.7× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$185K

1,884 claims · 1.1%

Your Cost: $98.36/claim|Median: $110.54
0.9× median
A7034Normal range

$183K

4,111 claims · 1.1%

Your Cost: $44.47/claim|Median: $35.90
1.2× median
L3809Normal range

$181K

1,459 claims · 1.1%

Your Cost: $124.16/claim|Median: $115.28
1.1× median
E0470Normal range

$166K

1,516 claims · 1.0%

Your Cost: $109.44/claim|Median: $81.45
1.3× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$159K

1,507 claims · 1.0%

Your Cost: $105.38/claim|Median: $116.15
0.9× median
A7038Top 5%

$158K

9,360 claims · 1.0%

Your Cost: $16.86/claim|Median: $3.53
4.8× median
A4606Normal range

$146K

4,235 claims · 0.9%

Your Cost: $34.51/claim|Median: $50.63
0.7× median
B4036Top 25%

$145K

1,245 claims · 0.9%

Your Cost: $116.86/claim|Median: $74.87
1.6× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$145K

1,833 claims · 0.9%

Your Cost: $79.34/claim|Median: $89.79
0.9× median
E0114Normal range

$145K

4,134 claims · 0.9%

Your Cost: $35.02/claim|Median: $29.11
1.2× median
E0562Top 5%

Humidifier, heated, used with positive airway pressure device

$143K

737 claims · 0.9%

Your Cost: $193.36/claim|Median: $18.68
10.4× median
E0466Normal range

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

$137K

767 claims · 0.8%

Your Cost: $178.89/claim|Median: $317.50
0.6× median
A7032Top 25%

$134K

3,171 claims · 0.8%

Your Cost: $42.38/claim|Median: $25.48
1.7× median
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