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Provider 1104800440

NPI: 1104800440Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.5M

$14,506,130

Total Claims

529K

Beneficiaries

469K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+13%
2019
$2.3M
-10%
2020
$2.1M
+1%
2021
$2.1M
+4%
2022
$2.2M
-3%
2023
$2.1M
-17%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (A4253 (Blood glucose test strips)) accounts for 47% of total spending.

A4253Top 10%

Blood glucose test strips

$6.8M

134K claims · 47.2%

Your Cost: $50.99/claim|Median: $6.92
7.4× median
A4215Top 10%

Sterile needle, each

$1.6M

35K claims · 11.3%

Your Cost: $46.23/claim|Median: $20.71
2.2× median
A4259Top 10%

Lancets for blood glucose testing

$1.5M

130K claims · 10.0%

Your Cost: $11.17/claim|Median: $2.27
4.9× median
A5500Top 25%

Diabetic therapeutic shoe, depth, each

$1.3M

23K claims · 9.2%

Your Cost: $58.83/claim|Median: $33.21
1.8× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$594K

4,892 claims · 4.1%

Your Cost: $121.44/claim|Median: $73.75
1.6× median
E0607Top 25%

$567K

9,933 claims · 3.9%

Your Cost: $57.04/claim|Median: $23.10
2.5× median
A5514Normal range

$518K

13K claims · 3.6%

Your Cost: $39.78/claim|Median: $32.49
1.2× median
A4256Top 25%

$444K

76K claims · 3.1%

Your Cost: $5.85/claim|Median: $2.85
2.1× median
S8490Normal range

$288K

16K claims · 2.0%

Your Cost: $18.55/claim|Median: $22.06
0.8× median
A4206Top 25%

$284K

13K claims · 2.0%

Your Cost: $21.29/claim|Median: $1.96
10.9× median
A5513Normal range

Diabetic therapeutic shoe, each, custom molded

$278K

7,992 claims · 1.9%

Your Cost: $34.83/claim|Median: $40.80
0.9× median
A4245Normal range

$128K

56K claims · 0.9%

Your Cost: $2.29/claim|Median: $2.33
1.0× median
E2103Normal range

$69K

548 claims · 0.5%

Your Cost: $125.82/claim|Median: $85.49
1.5× median
A4258Top 25%

$40K

6,780 claims · 0.3%

Your Cost: $5.83/claim|Median: $1.39
4.2× median
A4250Top 25%

$18K

1,341 claims · 0.1%

Your Cost: $13.40/claim|Median: $4.46
3.0× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$6K

63 claims · 0.0%

Your Cost: $101.95/claim|Median: $53.20
1.9× median
K0903Normal range

$0

1,068 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.39
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