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Provider 1114267127

NPI: 1114267127Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,122,671

Total Claims

333K

Beneficiaries

292K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$777K
+128%
2019
$1.8M
+11%
2020
$2.0M
-34%
2021
$1.3M
-32%
2022
$881K
+33%
2023
$1.2M
+8%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (L8699 (Prosthetic implant, not otherwise classified)) accounts for 15% of total spending.

L8699Top 25%

Prosthetic implant, not otherwise classified

$1.4M

466 claims · 14.9%

Your Cost: $2,913.53/claim|Median: $389.88
7.5× median
E1399Normal range

Durable medical equipment, miscellaneous

$782K

1,886 claims · 8.6%

Your Cost: $414.49/claim|Median: $104.06
4.0× median
E1390Normal range

Oxygen concentrator, single delivery port

$765K

17K claims · 8.4%

Your Cost: $44.18/claim|Median: $45.11
1.0× median
E0260Normal range

Hospital bed, semi-electric

$553K

22K claims · 6.1%

Your Cost: $25.27/claim|Median: $23.07
1.1× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$431K

8,285 claims · 4.7%

Your Cost: $51.99/claim|Median: $117.24
0.4× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$422K

4,443 claims · 4.6%

Your Cost: $94.99/claim|Median: $508.29
0.2× median
E0424Normal range

$388K

5,428 claims · 4.3%

Your Cost: $71.49/claim|Median: $81.60
0.9× median
B4154Normal range

$308K

2,520 claims · 3.4%

Your Cost: $122.25/claim|Median: $132.96
0.9× median
B4153Normal range

$243K

1,553 claims · 2.7%

Your Cost: $156.50/claim|Median: $410.73
0.4× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$227K

13K claims · 2.5%

Your Cost: $17.79/claim|Median: $35.30
0.5× median
E0431Top 10%

Portable gaseous oxygen system, rental

$225K

10K claims · 2.5%

Your Cost: $22.22/claim|Median: $10.37
2.1× median
K0001Normal range

Standard wheelchair

$216K

20K claims · 2.4%

Your Cost: $10.65/claim|Median: $12.27
0.9× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$209K

2,853 claims · 2.3%

Your Cost: $73.41/claim|Median: $92.20
0.8× median
A4414Normal range

$208K

8,634 claims · 2.3%

Your Cost: $24.12/claim|Median: $48.85
0.5× median
B9998Top 1%

Enteral/parenteral nutritional supplies, NOS

$199K

317 claims · 2.2%

Your Cost: $626.66/claim|Median: $55.51
11.3× median
E1392Top 1%

$187K

402 claims · 2.0%

Your Cost: $464.58/claim|Median: $10.81
43.0× median
A5063Normal range

$173K

9,173 claims · 1.9%

Your Cost: $18.86/claim|Median: $27.93
0.7× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$160K

1,604 claims · 1.8%

Your Cost: $99.98/claim|Median: $210.29
0.5× median
B9002Normal range

$155K

7,793 claims · 1.7%

Your Cost: $19.95/claim|Median: $54.41
0.4× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$148K

623 claims · 1.6%

Your Cost: $238.06/claim|Median: $583.21
0.4× median
A7030Normal range

Full face mask for CPAP device

$144K

4,520 claims · 1.6%

Your Cost: $31.94/claim|Median: $56.36
0.6× median
A7034Normal range

$88K

5,507 claims · 1.0%

Your Cost: $16.01/claim|Median: $35.90
0.4× median
A4624Normal range

$82K

2,667 claims · 0.9%

Your Cost: $30.57/claim|Median: $107.53
0.3× median
E0163Normal range

$79K

3,314 claims · 0.9%

Your Cost: $23.71/claim|Median: $27.98
0.8× median
A4253Normal range

Blood glucose test strips

$77K

5,444 claims · 0.8%

Your Cost: $14.12/claim|Median: $6.92
2.0× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$74K

16K claims · 0.8%

Your Cost: $4.55/claim|Median: $18.68
0.2× median
E0185Normal range

$74K

1,799 claims · 0.8%

Your Cost: $40.94/claim|Median: $38.42
1.1× median
A4629Normal range

$64K

2,254 claims · 0.7%

Your Cost: $28.20/claim|Median: $54.42
0.5× median
E0135Normal range

$63K

3,447 claims · 0.7%

Your Cost: $18.15/claim|Median: $30.33
0.6× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$58K

449 claims · 0.6%

Your Cost: $128.49/claim|Median: $465.86
0.3× median
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