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Provider 1134167646

NPI: 1134167646Share
Active Billing Period:2018-012024-08(80 months)

Total Paid

$17.0M

$17,004,036

Total Claims

254K

Beneficiaries

178K

1.4 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+1%
2019
$2.7M
-1%
2020
$2.7M
-9%
2021
$2.5M
+4%
2022
$2.6M
+18%
2023
$3.0M
-73%
2024
$823K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0465 (Home ventilator, any type, used with invasive interface)) accounts for 18% of total spending.

E0465Normal range

Home ventilator, any type, used with invasive interface

$3.1M

6,931 claims · 18.1%

Your Cost: $443.83/claim|Median: $583.21
0.8× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.3M

5,060 claims · 13.6%

Your Cost: $456.97/claim|Median: $465.86
1.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.3M

12K claims · 7.8%

Your Cost: $114.25/claim|Median: $117.24
1.0× median
E0466Normal range

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

$790K

2,127 claims · 4.6%

Your Cost: $371.63/claim|Median: $317.50
1.2× median
B4160Normal range

Enteral formula, per 100 calories

$767K

4,912 claims · 4.5%

Your Cost: $156.08/claim|Median: $157.30
1.0× median
Y2032Normal range

$700K

2,981 claims · 4.1%

Your Cost: $234.74/claim|Median: $298.80
0.8× median
A4483Top 25%

$655K

3,226 claims · 3.9%

Your Cost: $203.13/claim|Median: $91.41
2.2× median
A7521Top 25%

$617K

4,332 claims · 3.6%

Your Cost: $142.46/claim|Median: $39.24
3.6× median
E1390Normal range

Oxygen concentrator, single delivery port

$571K

9,556 claims · 3.4%

Your Cost: $59.72/claim|Median: $45.11
1.3× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$524K

14K claims · 3.1%

Your Cost: $37.83/claim|Median: $55.51
0.7× median
A7520Top 10%

$505K

3,172 claims · 3.0%

Your Cost: $159.22/claim|Median: $49.59
3.2× median
E0445Normal range

$475K

2,900 claims · 2.8%

Your Cost: $163.83/claim|Median: $118.11
1.4× median
B4088Normal range

$309K

4,481 claims · 1.8%

Your Cost: $68.86/claim|Median: $73.20
0.9× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$246K

8,848 claims · 1.4%

Your Cost: $27.82/claim|Median: $41.28
0.7× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$236K

1,015 claims · 1.4%

Your Cost: $232.11/claim|Median: $300.16
0.8× median
A4217Top 25%

Sterile water or saline for nebulizer, per unit

$235K

5,813 claims · 1.4%

Your Cost: $40.37/claim|Median: $13.14
3.1× median
A4606Normal range

$191K

8,700 claims · 1.1%

Your Cost: $21.94/claim|Median: $50.63
0.4× median
A4605Normal range

$183K

2,271 claims · 1.1%

Your Cost: $80.65/claim|Median: $121.51
0.7× median
T4522Normal range

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

$176K

2,289 claims · 1.0%

Your Cost: $76.87/claim|Median: $84.50
0.9× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$171K

4,879 claims · 1.0%

Your Cost: $35.06/claim|Median: $35.30
1.0× median
A7526Normal range

$166K

5,227 claims · 1.0%

Your Cost: $31.69/claim|Median: $33.61
0.9× median
A4927Normal range

Gloves, non-sterile, per 100

$160K

14K claims · 0.9%

Your Cost: $11.36/claim|Median: $12.90
0.9× median
T4529Normal range

Pediatric disposable incontinence product, pull-on, large

$157K

2,204 claims · 0.9%

Your Cost: $71.21/claim|Median: $71.73
1.0× median
E0431Top 10%

Portable gaseous oxygen system, rental

$153K

5,800 claims · 0.9%

Your Cost: $26.34/claim|Median: $10.37
2.5× median
B4153Normal range

$142K

419 claims · 0.8%

Your Cost: $338.26/claim|Median: $410.73
0.8× median
A4624Normal range

$141K

2,748 claims · 0.8%

Your Cost: $51.22/claim|Median: $107.53
0.5× median
T4527Normal range

Adult-sized disposable incontinence product, large

$139K

1,798 claims · 0.8%

Your Cost: $77.51/claim|Median: $99.53
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$122K

1,532 claims · 0.7%

Your Cost: $79.73/claim|Median: $88.94
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$115K

3,882 claims · 0.7%

Your Cost: $29.55/claim|Median: $42.03
0.7× median
A6402Top 25%

$113K

6,426 claims · 0.7%

Your Cost: $17.55/claim|Median: $7.69
2.3× median