Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1063487304

NPI: 1063487304Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,762,087

Total Claims

812K

Beneficiaries

785K

1.0 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-34%
2019
$1.0M
-59%
2020
$422K
+217%
2021
$1.3M
+12%
2022
$1.5M
-28%
2023
$1.1M
-24%
2024
$820K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (K0553 (Supply allowance for therapeutic CGM, per month)) accounts for 21% of total spending.

K0553Top 5%

Supply allowance for therapeutic CGM, per month

$1.7M

5,025 claims · 21.5%

Your Cost: $331.48/claim|Median: $53.20
6.2× median
E1390Normal range

Oxygen concentrator, single delivery port

$715K

52K claims · 9.2%

Your Cost: $13.73/claim|Median: $45.11
0.3× median
A4239Top 5%

Supply allowance for non-insulin pump CGM, per month

$567K

1,831 claims · 7.3%

Your Cost: $309.40/claim|Median: $73.75
4.2× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$337K

75K claims · 4.3%

Your Cost: $4.49/claim|Median: $41.28
0.1× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$240K

1,940 claims · 3.1%

Your Cost: $123.55/claim|Median: $210.29
0.6× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$235K

39K claims · 3.0%

Your Cost: $6.08/claim|Median: $35.30
0.2× median
E0277Normal range

$223K

4,441 claims · 2.9%

Your Cost: $50.26/claim|Median: $92.82
0.5× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$209K

34K claims · 2.7%

Your Cost: $6.15/claim|Median: $88.94
0.1× median
E0470Normal range

$195K

7,578 claims · 2.5%

Your Cost: $25.74/claim|Median: $81.45
0.3× median
K0001Normal range

Standard wheelchair

$188K

35K claims · 2.4%

Your Cost: $5.44/claim|Median: $12.27
0.4× median
T4527Normal range

Adult-sized disposable incontinence product, large

$170K

23K claims · 2.2%

Your Cost: $7.37/claim|Median: $99.53
0.1× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$162K

14K claims · 2.1%

Your Cost: $11.92/claim|Median: $96.13
0.1× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$149K

1,299 claims · 1.9%

Your Cost: $115.02/claim|Median: $465.86
0.2× median
A4670Normal range

$148K

9,415 claims · 1.9%

Your Cost: $15.75/claim|Median: $50.23
0.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$133K

29K claims · 1.7%

Your Cost: $4.54/claim|Median: $42.03
0.1× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$133K

54K claims · 1.7%

Your Cost: $2.44/claim|Median: $18.68
0.1× median
E0431Normal range

Portable gaseous oxygen system, rental

$126K

51K claims · 1.6%

Your Cost: $2.48/claim|Median: $10.37
0.2× median
B4160Normal range

Enteral formula, per 100 calories

$119K

11K claims · 1.5%

Your Cost: $10.81/claim|Median: $157.30
0.1× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$109K

2,776 claims · 1.4%

Your Cost: $39.15/claim|Median: $92.20
0.4× median
E0295Normal range

$101K

11K claims · 1.3%

Your Cost: $9.55/claim|Median: $41.43
0.2× median
B4154Normal range

$94K

1,534 claims · 1.2%

Your Cost: $61.35/claim|Median: $132.96
0.5× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$85K

9,517 claims · 1.1%

Your Cost: $8.94/claim|Median: $31.59
0.3× median
E0570Normal range

Nebulizer, with compressor

$83K

7,581 claims · 1.1%

Your Cost: $10.92/claim|Median: $16.16
0.7× median
A7034Normal range

$77K

9,821 claims · 1.0%

Your Cost: $7.82/claim|Median: $35.90
0.2× median
E1399Normal range

Durable medical equipment, miscellaneous

$74K

507 claims · 0.9%

Your Cost: $145.26/claim|Median: $104.06
1.4× median
T4524Normal range

Adult-sized disposable incontinence product, brief/diaper, medium

$70K

9,051 claims · 0.9%

Your Cost: $7.78/claim|Median: $108.31
0.1× median
T4522Normal range

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

$66K

11K claims · 0.8%

Your Cost: $5.88/claim|Median: $84.50
0.1× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$64K

6,562 claims · 0.8%

Your Cost: $9.79/claim|Median: $89.79
0.1× median
K0823Normal range

Power wheelchair, Group 2

$64K

608 claims · 0.8%

Your Cost: $104.83/claim|Median: $95.35
1.1× median
A7030Normal range

Full face mask for CPAP device

$55K

2,546 claims · 0.7%

Your Cost: $21.54/claim|Median: $56.36
0.4× median
← All providersHow we detect fraud →