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Provider 1114915634

NPI: 1114915634Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.1M

$10,106,884

Total Claims

220K

Beneficiaries

189K

1.2 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-12%
2019
$1.6M
+2%
2020
$1.6M
+2%
2021
$1.6M
-11%
2022
$1.5M
-13%
2023
$1.3M
-41%
2024
$750K

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 40% of total spending.

E1390Top 25%

Oxygen concentrator, single delivery port

$4.1M

60K claims · 40.1%

Your Cost: $67.90/claim|Median: $45.11
1.5× median
E0431Top 10%

Portable gaseous oxygen system, rental

$1.2M

47K claims · 11.7%

Your Cost: $25.12/claim|Median: $10.37
2.4× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$736K

14K claims · 7.3%

Your Cost: $54.10/claim|Median: $35.30
1.5× median
S9500Top 5%

$642K

1,407 claims · 6.4%

Your Cost: $456.34/claim|Median: $144.40
3.2× median
K0001Top 10%

Standard wheelchair

$442K

13K claims · 4.4%

Your Cost: $34.81/claim|Median: $12.27
2.8× median
E0603Top 25%

Breast pump, electric, any type

$381K

2,195 claims · 3.8%

Your Cost: $173.59/claim|Median: $131.70
1.3× median
E0260Top 25%

Hospital bed, semi-electric

$367K

7,509 claims · 3.6%

Your Cost: $48.88/claim|Median: $23.07
2.1× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$235K

4,670 claims · 2.3%

Your Cost: $50.22/claim|Median: $18.68
2.7× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$189K

4,818 claims · 1.9%

Your Cost: $39.25/claim|Median: $31.59
1.2× median
E0470Top 25%

$148K

1,204 claims · 1.5%

Your Cost: $123.01/claim|Median: $81.45
1.5× median
A7034Normal range

$137K

2,962 claims · 1.4%

Your Cost: $46.27/claim|Median: $35.90
1.3× median
A4604Top 25%

$133K

3,673 claims · 1.3%

Your Cost: $36.08/claim|Median: $22.01
1.6× median
A7030Normal range

Full face mask for CPAP device

$127K

1,658 claims · 1.3%

Your Cost: $76.53/claim|Median: $56.36
1.4× median
K0195Top 10%

$108K

6,537 claims · 1.1%

Your Cost: $16.48/claim|Median: $4.65
3.5× median
E0570Normal range

Nebulizer, with compressor

$107K

5,936 claims · 1.1%

Your Cost: $18.10/claim|Median: $16.16
1.1× median
A7035Top 10%

$105K

4,423 claims · 1.0%

Your Cost: $23.75/claim|Median: $13.01
1.8× median
E0247Normal range

$98K

1,696 claims · 1.0%

Your Cost: $57.56/claim|Median: $75.27
0.8× median
K0003Top 10%

$97K

1,650 claims · 1.0%

Your Cost: $58.79/claim|Median: $18.14
3.2× median
K0007Top 10%

$73K

585 claims · 0.7%

Your Cost: $124.87/claim|Median: $54.90
2.3× median
K0006Top 10%

$72K

959 claims · 0.7%

Your Cost: $75.21/claim|Median: $31.81
2.4× median
E0163Normal range

$57K

1,578 claims · 0.6%

Your Cost: $35.97/claim|Median: $27.98
1.3× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$56K

524 claims · 0.6%

Your Cost: $107.26/claim|Median: $89.79
1.2× median
E0245Normal range

$53K

1,449 claims · 0.5%

Your Cost: $36.64/claim|Median: $42.10
0.9× median
V5160Normal range

$49K

233 claims · 0.5%

Your Cost: $209.24/claim|Median: $309.52
0.7× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$40K

2,442 claims · 0.4%

Your Cost: $16.45/claim|Median: $16.19
1.0× median
K0738Top 5%

$37K

612 claims · 0.4%

Your Cost: $60.73/claim|Median: $17.69
3.4× median
S9340Top 5%

$37K

45 claims · 0.4%

Your Cost: $813.16/claim|Median: $196.46
4.1× median
A7038Normal range

$36K

9,752 claims · 0.4%

Your Cost: $3.68/claim|Median: $3.53
1.0× median
L4360Normal range

$31K

240 claims · 0.3%

Your Cost: $130.66/claim|Median: $149.34
0.9× median
A4222Top 25%

$30K

189 claims · 0.3%

Your Cost: $157.14/claim|Median: $62.70
2.5× median