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Provider 1144515255

NPI: 1144515255Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,615,939

Total Claims

56K

Beneficiaries

39K

1.4 claims/patient

Avg Cost/Claim

$207

Monthly Spending Trend

Yearly Spending

2018
$22K
-36%
2019
$14K
+5001%
2020
$724K
+270%
2021
$2.7M
+14%
2022
$3.0M
-11%
2023
$2.7M
-11%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 21% of total spending.

E1399Top 25%

Durable medical equipment, miscellaneous

$2.5M

3,600 claims · 21.2%

Your Cost: $684.27/claim|Median: $104.06
6.6× median
K0108Normal range

Wheelchair component or accessory, NOS

$1.9M

9,471 claims · 16.6%

Your Cost: $203.25/claim|Median: $153.75
1.3× median
E0240Top 5%

$1.0M

582 claims · 8.9%

Your Cost: $1,775.65/claim|Median: $62.75
28.3× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$908K

1,484 claims · 7.8%

Your Cost: $612.01/claim|Median: $508.29
1.2× median
E1028Top 25%

$692K

7,137 claims · 6.0%

Your Cost: $97.01/claim|Median: $54.00
1.8× median
E2617Top 5%

$574K

237 claims · 4.9%

Your Cost: $2,423.23/claim|Median: $939.89
2.6× median
E1161Top 25%

$573K

1,409 claims · 4.9%

Your Cost: $406.84/claim|Median: $200.27
2.0× median
E2609Top 1%

$429K

187 claims · 3.7%

Your Cost: $2,295.73/claim|Median: $840.30
2.7× median
K0739Top 25%

$402K

5,497 claims · 3.5%

Your Cost: $73.06/claim|Median: $34.09
2.1× median
E0955Top 25%

$243K

2,945 claims · 2.1%

Your Cost: $82.37/claim|Median: $43.51
1.9× median
E2607Top 1%

$226K

786 claims · 1.9%

Your Cost: $287.27/claim|Median: $150.23
1.9× median
K0005Normal range

$222K

171 claims · 1.9%

Your Cost: $1,299.17/claim|Median: $1,060.57
1.2× median
A9900Top 10%

$215K

704 claims · 1.8%

Your Cost: $304.81/claim|Median: $58.14
5.2× median
E0973Top 25%

$191K

1,725 claims · 1.6%

Your Cost: $111.00/claim|Median: $42.75
2.6× median
E0956Normal range

$190K

1,508 claims · 1.6%

Your Cost: $125.77/claim|Median: $106.01
1.2× median
E2613Top 5%

$173K

465 claims · 1.5%

Your Cost: $372.80/claim|Median: $250.22
1.5× median
K0040Top 25%

$141K

1,589 claims · 1.2%

Your Cost: $88.94/claim|Median: $62.90
1.4× median
E0950Top 25%

$118K

1,110 claims · 1.0%

Your Cost: $106.38/claim|Median: $67.43
1.6× median
E0960Top 25%

$108K

1,528 claims · 0.9%

Your Cost: $70.59/claim|Median: $58.78
1.2× median
E0971Top 10%

$91K

1,485 claims · 0.8%

Your Cost: $61.01/claim|Median: $13.46
4.5× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$88K

829 claims · 0.8%

Your Cost: $105.68/claim|Median: $116.15
0.9× median
97542Normal range

Wheelchair management training

$79K

2,071 claims · 0.7%

Your Cost: $38.24/claim|Median: $18.66
2.0× median
E1007Top 25%

$68K

14 claims · 0.6%

Your Cost: $4,853.93/claim|Median: $3,203.03
1.5× median
E2213Top 10%

$57K

1,203 claims · 0.5%

Your Cost: $47.49/claim|Median: $32.15
1.5× median
E0978Top 10%

$55K

1,934 claims · 0.5%

Your Cost: $28.29/claim|Median: $14.50
2.0× median
K0861Top 25%

$49K

12 claims · 0.4%

Your Cost: $4,071.82/claim|Median: $2,607.07
1.6× median
A4554Normal range

Disposable underpads, all sizes

$42K

1,166 claims · 0.4%

Your Cost: $35.90/claim|Median: $37.02
1.0× median
E2311Normal range

$33K

30 claims · 0.3%

Your Cost: $1,107.77/claim|Median: $879.38
1.3× median
E2211Top 10%

$29K

555 claims · 0.3%

Your Cost: $53.07/claim|Median: $35.48
1.5× median
E2392Top 25%

$23K

264 claims · 0.2%

Your Cost: $88.64/claim|Median: $53.88
1.6× median
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