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Provider 1134122047

NPI: 1134122047Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.7M

$15,740,765

Total Claims

415K

Beneficiaries

405K

1.0 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+7%
2019
$1.3M
+12%
2020
$1.5M
+14%
2021
$1.7M
+41%
2022
$2.4M
+52%
2023
$3.7M
+6%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A7030 (Full face mask for CPAP device)) accounts for 17% of total spending.

A7030Top 25%

Full face mask for CPAP device

$2.6M

31K claims · 16.7%

Your Cost: $85.63/claim|Median: $56.36
1.5× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$2.2M

61K claims · 14.1%

Your Cost: $36.30/claim|Median: $35.30
1.0× median
A4604Top 25%

$1.7M

50K claims · 10.6%

Your Cost: $33.15/claim|Median: $22.01
1.5× median
A9276Normal range

Breath test analyzer, FDA approved, disposable

$1.5M

4,023 claims · 9.4%

Your Cost: $367.06/claim|Median: $294.58
1.2× median
A7034Top 25%

$1.3M

26K claims · 8.4%

Your Cost: $50.95/claim|Median: $35.90
1.4× median
A7031Top 25%

$860K

25K claims · 5.5%

Your Cost: $33.85/claim|Median: $25.17
1.3× median
A7032Top 25%

$583K

16K claims · 3.7%

Your Cost: $36.60/claim|Median: $25.48
1.4× median
A7035Normal range

$581K

33K claims · 3.7%

Your Cost: $17.64/claim|Median: $13.01
1.4× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$478K

15K claims · 3.0%

Your Cost: $31.46/claim|Median: $18.68
1.7× median
L4361Normal range

$409K

2,448 claims · 2.6%

Your Cost: $166.96/claim|Median: $161.24
1.0× median
A9277Normal range

Breath alcohol test, per administration

$315K

1,023 claims · 2.0%

Your Cost: $308.31/claim|Median: $407.76
0.8× median
E0470Normal range

$311K

4,148 claims · 2.0%

Your Cost: $75.01/claim|Median: $81.45
0.9× median
A7038Normal range

$311K

61K claims · 2.0%

Your Cost: $5.07/claim|Median: $3.53
1.4× median
A4230Normal range

Infusion supplies, non-chemotherapy, per visit

$290K

1,980 claims · 1.8%

Your Cost: $146.32/claim|Median: $136.09
1.1× median
L3660Top 25%

$268K

3,917 claims · 1.7%

Your Cost: $68.37/claim|Median: $50.90
1.3× median
A7033Normal range

$244K

8,854 claims · 1.5%

Your Cost: $27.51/claim|Median: $20.57
1.3× median
A7046Top 25%

Water collection device for humidifier, each

$233K

23K claims · 1.5%

Your Cost: $10.32/claim|Median: $6.86
1.5× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$219K

3,247 claims · 1.4%

Your Cost: $67.48/claim|Median: $73.75
0.9× median
E0114Normal range

$190K

7,140 claims · 1.2%

Your Cost: $26.59/claim|Median: $29.11
0.9× median
L4350Normal range

$134K

2,241 claims · 0.9%

Your Cost: $59.98/claim|Median: $52.71
1.1× median
E1390Normal range

Oxygen concentrator, single delivery port

$126K

2,174 claims · 0.8%

Your Cost: $58.16/claim|Median: $45.11
1.3× median
A4232Top 25%

$101K

2,060 claims · 0.6%

Your Cost: $49.11/claim|Median: $34.49
1.4× median
E1399Normal range

Durable medical equipment, miscellaneous

$96K

1,383 claims · 0.6%

Your Cost: $69.62/claim|Median: $104.06
0.7× median
A7037Top 25%

$86K

4,997 claims · 0.5%

Your Cost: $17.23/claim|Median: $10.56
1.6× median
L3908Normal range

$75K

1,837 claims · 0.5%

Your Cost: $40.56/claim|Median: $35.79
1.1× median
L3807Top 25%

$74K

517 claims · 0.5%

Your Cost: $143.72/claim|Median: $120.29
1.2× median
L1830Normal range

$74K

1,700 claims · 0.5%

Your Cost: $43.31/claim|Median: $46.06
0.9× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$65K

434 claims · 0.4%

Your Cost: $148.90/claim|Median: $210.29
0.7× median
A7039Top 25%

$60K

9,015 claims · 0.4%

Your Cost: $6.65/claim|Median: $4.54
1.5× median
A9274Normal range

External ambulatory insulin delivery system, disposable

$51K

105 claims · 0.3%

Your Cost: $486.70/claim|Median: $466.16
1.0× median
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