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Provider 1073539896

NPI: 1073539896Share
Active Billing Period:2019-08→2024-12(65 months)

Total Paid

$10.4M

$10,367,301

Total Claims

119K

Beneficiaries

115K

1.0 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2019
$2K
+16961%
2020
$379K
+584%
2021
$2.6M
-5%
2022
$2.5M
+7%
2023
$2.6M
-11%
2024
$2.3M

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 16% of total spending.

E0465Top 25%

Home ventilator, any type, used with invasive interface

$1.7M

2,058 claims · 15.9%

Your Cost: $801.83/claim|Median: $583.21
1.4× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$1.2M

1,608 claims · 11.8%

Your Cost: $762.29/claim|Median: $465.86
1.6× median
E1390Top 10%

Oxygen concentrator, single delivery port

$1.0M

9,659 claims · 10.1%

Your Cost: $107.91/claim|Median: $45.11
2.4× median
B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$1.0M

3,813 claims · 9.8%

Your Cost: $266.00/claim|Median: $117.24
2.3× median
B4160Top 25%

Enteral formula, per 100 calories

$665K

2,863 claims · 6.4%

Your Cost: $232.32/claim|Median: $157.30
1.5× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$424K

4,987 claims · 4.1%

Your Cost: $84.98/claim|Median: $55.51
1.5× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$411K

969 claims · 4.0%

Your Cost: $423.78/claim|Median: $300.16
1.4× median
A4606Top 25%

$383K

3,940 claims · 3.7%

Your Cost: $97.32/claim|Median: $50.63
1.9× median
E0482Normal range

$349K

1,395 claims · 3.4%

Your Cost: $250.25/claim|Median: $246.17
1.0× median
E0466Top 10%

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

$315K

471 claims · 3.0%

Your Cost: $668.52/claim|Median: $317.50
2.1× median
E0445Normal range

$278K

1,831 claims · 2.7%

Your Cost: $151.79/claim|Median: $118.11
1.3× median
A4624Normal range

$277K

2,200 claims · 2.7%

Your Cost: $125.94/claim|Median: $107.53
1.2× median
B4150Top 5%

Enteral formula, nutritionally complete with fiber, per 100 calories

$234K

818 claims · 2.3%

Your Cost: $285.96/claim|Median: $89.79
3.2× median
A4629Top 25%

$203K

2,168 claims · 2.0%

Your Cost: $93.63/claim|Median: $54.42
1.7× median
E0431Top 25%

Portable gaseous oxygen system, rental

$179K

9,186 claims · 1.7%

Your Cost: $19.47/claim|Median: $10.37
1.9× median
E0570Top 5%

Nebulizer, with compressor

$163K

1,691 claims · 1.6%

Your Cost: $96.36/claim|Median: $16.16
6.0× median
A7000Top 25%

$127K

5,075 claims · 1.2%

Your Cost: $24.96/claim|Median: $11.83
2.1× median
A4554Normal range

Disposable underpads, all sizes

$127K

4,307 claims · 1.2%

Your Cost: $29.38/claim|Median: $37.02
0.8× median
B9002Top 10%

$126K

982 claims · 1.2%

Your Cost: $128.61/claim|Median: $54.41
2.4× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$111K

995 claims · 1.1%

Your Cost: $111.90/claim|Median: $110.54
1.0× median
A7520Normal range

$105K

1,828 claims · 1.0%

Your Cost: $57.34/claim|Median: $49.59
1.2× median
T4530Normal range

$97K

1,054 claims · 0.9%

Your Cost: $92.45/claim|Median: $83.90
1.1× median
B4034Top 25%

$81K

790 claims · 0.8%

Your Cost: $102.21/claim|Median: $46.28
2.2× median
A7526Normal range

$67K

2,609 claims · 0.6%

Your Cost: $25.50/claim|Median: $33.61
0.8× median
A6402Top 25%

$64K

4,629 claims · 0.6%

Your Cost: $13.87/claim|Median: $7.69
1.8× median
A7002Top 25%

$61K

5,216 claims · 0.6%

Your Cost: $11.66/claim|Median: $4.97
2.3× median
A7521Top 25%

$54K

388 claims · 0.5%

Your Cost: $138.01/claim|Median: $39.24
3.5× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$54K

4,626 claims · 0.5%

Your Cost: $11.58/claim|Median: $28.63
0.4× median
K0001Top 25%

Standard wheelchair

$52K

2,216 claims · 0.5%

Your Cost: $23.45/claim|Median: $12.27
1.9× median
B4155Top 10%

$44K

165 claims · 0.4%

Your Cost: $267.23/claim|Median: $46.72
5.7× median
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