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Provider 1134120462

NPI: 1134120462Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,594,227

Total Claims

206K

Beneficiaries

189K

1.1 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$395K
+374%
2019
$1.9M
+5%
2020
$2.0M
+5%
2021
$2.1M
-5%
2022
$1.9M
-1%
2023
$1.9M
-25%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 10% of total spending.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.2M

7,115 claims · 10.4%

Your Cost: $168.81/claim|Median: $117.24
1.4× median
B4153Top 25%

$1.2M

1,717 claims · 10.3%

Your Cost: $694.38/claim|Median: $410.73
1.7× median
E1390Top 5%

Oxygen concentrator, single delivery port

$1.1M

9,352 claims · 9.3%

Your Cost: $115.28/claim|Median: $45.11
2.6× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$1.0M

2,266 claims · 8.6%

Your Cost: $442.00/claim|Median: $583.21
0.8× median
A4624Normal range

$954K

6,589 claims · 8.2%

Your Cost: $144.85/claim|Median: $107.53
1.3× median
A7003Top 1%

Administration set for nebulizer, with small volume

$850K

12K claims · 7.3%

Your Cost: $73.48/claim|Median: $1.48
49.6× median
B9002Normal range

$503K

8,819 claims · 4.3%

Your Cost: $57.03/claim|Median: $54.41
1.0× median
B4160Normal range

Enteral formula, per 100 calories

$471K

2,300 claims · 4.1%

Your Cost: $204.62/claim|Median: $157.30
1.3× median
B4150Top 5%

Enteral formula, nutritionally complete with fiber, per 100 calories

$409K

1,765 claims · 3.5%

Your Cost: $231.90/claim|Median: $89.79
2.6× median
E0445Normal range

$335K

5,493 claims · 2.9%

Your Cost: $61.03/claim|Median: $118.11
0.5× median
B4087Normal range

$322K

14K claims · 2.8%

Your Cost: $22.72/claim|Median: $25.27
0.9× median
B4088Normal range

$315K

4,565 claims · 2.7%

Your Cost: $68.93/claim|Median: $73.20
0.9× median
E0466Top 25%

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

$261K

531 claims · 2.2%

Your Cost: $490.99/claim|Median: $317.50
1.5× median
E0431Top 5%

Portable gaseous oxygen system, rental

$251K

9,349 claims · 2.2%

Your Cost: $26.81/claim|Median: $10.37
2.6× median
A4322Top 25%

$229K

6,505 claims · 2.0%

Your Cost: $35.19/claim|Median: $14.10
2.5× median
A4244Top 10%

Alcohol or peroxide swabs, per box

$180K

5,150 claims · 1.6%

Your Cost: $34.96/claim|Median: $1.73
20.2× median
A4927Normal range

Gloves, non-sterile, per 100

$171K

11K claims · 1.5%

Your Cost: $15.23/claim|Median: $12.90
1.2× median
A4554Normal range

Disposable underpads, all sizes

$155K

6,172 claims · 1.3%

Your Cost: $25.07/claim|Median: $37.02
0.7× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$143K

1,868 claims · 1.2%

Your Cost: $76.71/claim|Median: $84.50
0.9× median
A7520Normal range

$139K

3,282 claims · 1.2%

Your Cost: $42.21/claim|Median: $49.59
0.9× median
A6402Top 25%

$114K

7,883 claims · 1.0%

Your Cost: $14.47/claim|Median: $7.69
1.9× median
A4245Top 10%

$107K

4,472 claims · 0.9%

Your Cost: $23.96/claim|Median: $2.33
10.3× median
A7508Normal range

$99K

3,325 claims · 0.9%

Your Cost: $29.82/claim|Median: $41.86
0.7× median
A4629Normal range

$99K

2,377 claims · 0.9%

Your Cost: $41.66/claim|Median: $54.42
0.8× median
A9900Normal range

$90K

717 claims · 0.8%

Your Cost: $125.54/claim|Median: $58.14
2.2× median
A4213Top 25%

$84K

2,589 claims · 0.7%

Your Cost: $32.45/claim|Median: $9.01
3.6× median
A4209Top 25%

$81K

7,058 claims · 0.7%

Your Cost: $11.48/claim|Median: $1.41
8.1× median
A7002Top 25%

$71K

7,780 claims · 0.6%

Your Cost: $9.09/claim|Median: $4.97
1.8× median
A7526Normal range

$70K

4,343 claims · 0.6%

Your Cost: $16.22/claim|Median: $33.61
0.5× median
E0600Normal range

$70K

2,466 claims · 0.6%

Your Cost: $28.50/claim|Median: $25.31
1.1× median
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