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Provider 1083612022

NPI: 1083612022Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$15.0M

$15,046,193

Total Claims

87K

Beneficiaries

79K

1.1 claims/patient

Avg Cost/Claim

$173

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+2%
2019
$1.7M
-23%
2020
$1.3M
+23%
2021
$1.6M
+44%
2022
$2.3M
+66%
2023
$3.8M
-30%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0277) accounts for 33% of total spending.

E0277Top 1%

$5.0M

10K claims · 33.3%

Your Cost: $483.00/claim|Median: $92.82
5.2× median
E1399Top 25%

Durable medical equipment, miscellaneous

$3.9M

4,923 claims · 26.1%

Your Cost: $796.49/claim|Median: $104.06
7.7× median
A9900Top 5%

$1.2M

2,863 claims · 7.7%

Your Cost: $405.49/claim|Median: $58.14
7.0× median
E0295Normal range

$799K

9,989 claims · 5.3%

Your Cost: $79.96/claim|Median: $41.43
1.9× median
K0001Top 5%

Standard wheelchair

$616K

15K claims · 4.1%

Your Cost: $42.29/claim|Median: $12.27
3.4× median
K0108Normal range

Wheelchair component or accessory, NOS

$480K

2,844 claims · 3.2%

Your Cost: $168.74/claim|Median: $153.75
1.1× median
K0007Top 5%

$416K

2,643 claims · 2.8%

Your Cost: $157.42/claim|Median: $54.90
2.9× median
E0303Top 10%

$322K

1,779 claims · 2.1%

Your Cost: $181.10/claim|Median: $81.29
2.2× median
E0304Top 1%

$266K

584 claims · 1.8%

Your Cost: $455.26/claim|Median: $353.23
1.3× median
K0006Top 5%

$215K

2,201 claims · 1.4%

Your Cost: $97.68/claim|Median: $31.81
3.1× median
K0003Top 5%

$207K

3,301 claims · 1.4%

Your Cost: $62.73/claim|Median: $18.14
3.5× median
E0147Normal range

$185K

1,078 claims · 1.2%

Your Cost: $171.93/claim|Median: $119.32
1.4× median
E0630Top 10%

$178K

2,604 claims · 1.2%

Your Cost: $68.51/claim|Median: $23.70
2.9× median
K0806Normal range

$154K

236 claims · 1.0%

Your Cost: $651.79/claim|Median: $652.50
1.0× median
K0823Top 5%

Power wheelchair, Group 2

$149K

93 claims · 1.0%

Your Cost: $1,604.71/claim|Median: $95.35
16.8× median
E0635Normal range

$101K

1,096 claims · 0.7%

Your Cost: $91.75/claim|Median: $67.94
1.4× median
K0195Top 5%

$93K

4,969 claims · 0.6%

Your Cost: $18.72/claim|Median: $4.65
4.0× median
E0272Normal range

$93K

2,525 claims · 0.6%

Your Cost: $36.70/claim|Median: $15.40
2.4× median
E0143Top 5%

Walker, folding, wheeled, adjustable or fixed height

$91K

1,270 claims · 0.6%

Your Cost: $71.71/claim|Median: $31.59
2.3× median
K0739Top 10%

$87K

1,065 claims · 0.6%

Your Cost: $81.56/claim|Median: $34.09
2.4× median
K0812Top 1%

$83K

96 claims · 0.6%

Your Cost: $864.25/claim|Median: $864.25
1.0× median
E0305Normal range

$80K

6,638 claims · 0.5%

Your Cost: $12.06/claim|Median: $8.35
1.4× median
E0245Normal range

$42K

779 claims · 0.3%

Your Cost: $54.52/claim|Median: $42.10
1.3× median
E0240Top 25%

$37K

115 claims · 0.2%

Your Cost: $322.65/claim|Median: $62.75
5.1× median
E0310Normal range

$31K

2,221 claims · 0.2%

Your Cost: $14.17/claim|Median: $12.33
1.1× median
K0807Normal range

$31K

29 claims · 0.2%

Your Cost: $1,064.66/claim|Median: $1,064.66
1.0× median
E0156Top 10%

$31K

2,130 claims · 0.2%

Your Cost: $14.46/claim|Median: $7.15
2.0× median
E0163Top 5%

$29K

368 claims · 0.2%

Your Cost: $78.15/claim|Median: $27.98
2.8× median
E1226Top 25%

$27K

414 claims · 0.2%

Your Cost: $64.36/claim|Median: $29.99
2.1× median
E0971Normal range

$21K

886 claims · 0.1%

Your Cost: $24.20/claim|Median: $13.46
1.8× median