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Provider 1134259328

NPI: 1134259328Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,495,383

Total Claims

94K

Beneficiaries

86K

1.1 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018
$433K
+44%
2019
$624K
+138%
2020
$1.5M
+40%
2021
$2.1M
+25%
2022
$2.6M
-18%
2023
$2.1M
+0%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4239 (Supply allowance for non-insulin pump CGM, per month)) accounts for 32% of total spending.

A4239Top 5%

Supply allowance for non-insulin pump CGM, per month

$3.6M

9,663 claims · 31.6%

Your Cost: $376.16/claim|Median: $73.75
5.1× median
A9276Normal range

Breath test analyzer, FDA approved, disposable

$2.8M

12K claims · 24.4%

Your Cost: $227.14/claim|Median: $294.58
0.8× median
A9277Top 5%

Breath alcohol test, per administration

$2.3M

3,486 claims · 19.7%

Your Cost: $648.80/claim|Median: $407.76
1.6× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$387K

12K claims · 3.4%

Your Cost: $31.33/claim|Median: $42.03
0.7× median
A4554Normal range

Disposable underpads, all sizes

$317K

10K claims · 2.8%

Your Cost: $30.43/claim|Median: $37.02
0.8× median
L2275Normal range

$236K

3,984 claims · 2.1%

Your Cost: $59.23/claim|Median: $81.97
0.7× median
L3020Normal range

Foot insert, removable, longitudinal arch support, each

$201K

2,293 claims · 1.7%

Your Cost: $87.45/claim|Median: $127.94
0.7× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$195K

2,940 claims · 1.7%

Your Cost: $66.23/claim|Median: $96.13
0.7× median
A9278Normal range

$158K

752 claims · 1.4%

Your Cost: $210.46/claim|Median: $366.50
0.6× median
T4539Normal range

$155K

5,919 claims · 1.3%

Your Cost: $26.19/claim|Median: $27.96
0.9× median
T4524Normal range

Adult-sized disposable incontinence product, brief/diaper, medium

$141K

1,875 claims · 1.2%

Your Cost: $75.17/claim|Median: $108.31
0.7× median
E0575Top 25%

$123K

361 claims · 1.1%

Your Cost: $340.38/claim|Median: $299.61
1.1× median
T4522Normal range

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

$118K

2,327 claims · 1.0%

Your Cost: $50.73/claim|Median: $84.50
0.6× median
L3010Normal range

Foot insert, removable, longitudinal-metatarsal support, each

$104K

1,287 claims · 0.9%

Your Cost: $80.68/claim|Median: $133.98
0.6× median
E0570Top 25%

Nebulizer, with compressor

$90K

1,273 claims · 0.8%

Your Cost: $71.07/claim|Median: $16.16
4.4× median
T4537Normal range

$84K

2,775 claims · 0.7%

Your Cost: $30.12/claim|Median: $31.50
1.0× median
E0601Top 5%

Continuous positive airway pressure (CPAP) device

$63K

765 claims · 0.6%

Your Cost: $82.97/claim|Median: $35.30
2.4× median
E2103Top 1%

$49K

169 claims · 0.4%

Your Cost: $290.40/claim|Median: $85.49
3.4× median
A4230Top 5%

Infusion supplies, non-chemotherapy, per visit

$43K

94 claims · 0.4%

Your Cost: $455.94/claim|Median: $136.09
3.4× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$38K

1,164 claims · 0.3%

Your Cost: $32.59/claim|Median: $33.21
1.0× median
L3216Normal range

$35K

685 claims · 0.3%

Your Cost: $50.74/claim|Median: $56.74
0.9× median
S8101Normal range

$30K

1,131 claims · 0.3%

Your Cost: $26.65/claim|Median: $23.46
1.1× median
L3217Normal range

$28K

571 claims · 0.2%

Your Cost: $49.18/claim|Median: $74.76
0.7× median
A4927Normal range

Gloves, non-sterile, per 100

$27K

7,776 claims · 0.2%

Your Cost: $3.43/claim|Median: $12.90
0.3× median
L3030Normal range

Foot insert, removable, UCB-type, Berkeley shell, each

$26K

432 claims · 0.2%

Your Cost: $61.10/claim|Median: $61.03
1.0× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$23K

990 claims · 0.2%

Your Cost: $22.73/claim|Median: $24.01
0.9× median
L3221Normal range

$22K

403 claims · 0.2%

Your Cost: $55.44/claim|Median: $60.92
0.9× median
A7005Normal range

$19K

1,565 claims · 0.2%

Your Cost: $12.04/claim|Median: $12.44
1.0× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$15K

665 claims · 0.1%

Your Cost: $23.27/claim|Median: $18.68
1.2× median
L3222Normal range

$12K

221 claims · 0.1%

Your Cost: $56.31/claim|Median: $85.13
0.7× median
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