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Provider 1104882638

NPI: 1104882638Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,441,259

Total Claims

277K

Beneficiaries

235K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+19%
2019
$1.4M
+8%
2020
$1.5M
+18%
2021
$1.8M
+75%
2022
$3.1M
+15%
2023
$3.6M
-17%
2024
$3.0M

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 33% of total spending.

E1390Normal range

Oxygen concentrator, single delivery port

$5.1M

78K claims · 33.1%

Your Cost: $65.73/claim|Median: $45.11
1.5× median
E0465Top 10%

Home ventilator, any type, used with invasive interface

$1.9M

1,949 claims · 12.5%

Your Cost: $992.47/claim|Median: $583.21
1.7× median
E0466Top 5%

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

$1.9M

2,552 claims · 12.4%

Your Cost: $749.82/claim|Median: $317.50
2.4× median
K0738Top 25%

$788K

25K claims · 5.1%

Your Cost: $31.51/claim|Median: $17.69
1.8× median
A7030Normal range

Full face mask for CPAP device

$617K

8,181 claims · 4.0%

Your Cost: $75.47/claim|Median: $56.36
1.3× median
E0445Top 25%

$568K

2,420 claims · 3.7%

Your Cost: $234.76/claim|Median: $118.11
2.0× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$390K

8,012 claims · 2.5%

Your Cost: $48.67/claim|Median: $35.30
1.4× median
A4606Normal range

$374K

5,082 claims · 2.4%

Your Cost: $73.61/claim|Median: $50.63
1.5× median
E0441Normal range

$351K

7,772 claims · 2.3%

Your Cost: $45.20/claim|Median: $46.22
1.0× median
E0424Normal range

$318K

3,896 claims · 2.1%

Your Cost: $81.60/claim|Median: $81.60
1.0× median
A7031Normal range

$311K

10K claims · 2.0%

Your Cost: $30.34/claim|Median: $25.17
1.2× median
A4624Top 10%

$301K

1,345 claims · 2.0%

Your Cost: $223.92/claim|Median: $107.53
2.1× median
E0562Top 10%

Humidifier, heated, used with positive airway pressure device

$294K

2,328 claims · 1.9%

Your Cost: $126.32/claim|Median: $18.68
6.8× median
E0431Normal range

Portable gaseous oxygen system, rental

$259K

20K claims · 1.7%

Your Cost: $13.01/claim|Median: $10.37
1.3× median
A7034Normal range

$219K

4,715 claims · 1.4%

Your Cost: $46.53/claim|Median: $35.90
1.3× median
E0471Top 25%

Respiratory assist device, bi-level with backup rate

$209K

586 claims · 1.4%

Your Cost: $357.24/claim|Median: $210.29
1.7× median
E1392Top 25%

$189K

9,974 claims · 1.2%

Your Cost: $18.97/claim|Median: $10.81
1.8× median
A4604Normal range

$152K

6,402 claims · 1.0%

Your Cost: $23.81/claim|Median: $22.01
1.1× median
A7035Normal range

$122K

7,463 claims · 0.8%

Your Cost: $16.36/claim|Median: $13.01
1.3× median
A7526Top 10%

$107K

1,421 claims · 0.7%

Your Cost: $75.48/claim|Median: $33.61
2.2× median
E0600Top 25%

$98K

1,989 claims · 0.6%

Your Cost: $49.09/claim|Median: $25.31
1.9× median
A7520Normal range

$88K

1,331 claims · 0.6%

Your Cost: $66.38/claim|Median: $49.59
1.3× median
E0470Normal range

$83K

769 claims · 0.5%

Your Cost: $107.93/claim|Median: $81.45
1.3× median
A7032Normal range

$74K

3,854 claims · 0.5%

Your Cost: $19.33/claim|Median: $25.48
0.8× median
A7038Normal range

$74K

17K claims · 0.5%

Your Cost: $4.23/claim|Median: $3.53
1.2× median
A7037Top 25%

$72K

4,319 claims · 0.5%

Your Cost: $16.64/claim|Median: $10.56
1.6× median
A7046Top 25%

Water collection device for humidifier, each

$72K

6,922 claims · 0.5%

Your Cost: $10.37/claim|Median: $6.86
1.5× median
A9999Normal range

$54K

5,434 claims · 0.4%

Your Cost: $9.97/claim|Median: $39.73
0.3× median
A4481Top 10%

$46K

460 claims · 0.3%

Your Cost: $100.63/claim|Median: $9.30
10.8× median
A4216Top 25%

$38K

1,407 claims · 0.2%

Your Cost: $27.09/claim|Median: $8.45
3.2× median
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