Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1154331809

NPI: 1154331809Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,251,610

Total Claims

130K

Beneficiaries

105K

1.2 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-16%
2019
$1.4M
+24%
2020
$1.8M
-28%
2021
$1.3M
-25%
2022
$952K
-41%
2023
$564K
+0%
2024
$565K

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 20% of total spending.

B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$1.6M

6,944 claims · 19.7%

Your Cost: $234.30/claim|Median: $117.24
2.0× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$1.6M

2,618 claims · 19.1%

Your Cost: $602.66/claim|Median: $583.21
1.0× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.3M

21K claims · 16.0%

Your Cost: $63.27/claim|Median: $45.11
1.4× median
E0431Top 1%

Portable gaseous oxygen system, rental

$800K

16K claims · 9.7%

Your Cost: $50.77/claim|Median: $10.37
4.9× median
B4160Normal range

Enteral formula, per 100 calories

$306K

1,566 claims · 3.7%

Your Cost: $195.49/claim|Median: $157.30
1.2× median
E0445Top 25%

$305K

1,327 claims · 3.7%

Your Cost: $230.00/claim|Median: $118.11
1.9× median
B9002Normal range

$194K

2,648 claims · 2.4%

Your Cost: $73.26/claim|Median: $54.41
1.3× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$173K

4,400 claims · 2.1%

Your Cost: $39.36/claim|Median: $35.30
1.1× median
K0001Top 25%

Standard wheelchair

$152K

6,820 claims · 1.8%

Your Cost: $22.35/claim|Median: $12.27
1.8× median
A7030Top 25%

Full face mask for CPAP device

$139K

1,698 claims · 1.7%

Your Cost: $81.89/claim|Median: $56.36
1.5× median
A4624Normal range

$134K

1,256 claims · 1.6%

Your Cost: $106.39/claim|Median: $107.53
1.0× median
E0570Normal range

Nebulizer, with compressor

$119K

3,581 claims · 1.4%

Your Cost: $33.17/claim|Median: $16.16
2.1× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$104K

4,799 claims · 1.3%

Your Cost: $21.77/claim|Median: $55.51
0.4× median
A7526Normal range

$92K

3,364 claims · 1.1%

Your Cost: $27.45/claim|Median: $33.61
0.8× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$87K

2,355 claims · 1.1%

Your Cost: $36.81/claim|Median: $31.59
1.2× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$84K

509 claims · 1.0%

Your Cost: $165.08/claim|Median: $92.20
1.8× median
A7507Normal range

$82K

1,400 claims · 1.0%

Your Cost: $58.90/claim|Median: $59.66
1.0× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$79K

1,953 claims · 1.0%

Your Cost: $40.59/claim|Median: $18.68
2.2× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$66K

2,116 claims · 0.8%

Your Cost: $31.21/claim|Median: $13.14
2.4× median
B4149Top 5%

Enteral formula, manufactured blenderized, per 100 calories

$59K

112 claims · 0.7%

Your Cost: $524.88/claim|Median: $300.16
1.7× median
K0195Top 25%

$59K

4,892 claims · 0.7%

Your Cost: $11.99/claim|Median: $4.65
2.6× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$53K

376 claims · 0.6%

Your Cost: $139.74/claim|Median: $89.79
1.6× median
A4606Normal range

$51K

2,144 claims · 0.6%

Your Cost: $23.84/claim|Median: $50.63
0.5× median
E0260Normal range

Hospital bed, semi-electric

$50K

1,892 claims · 0.6%

Your Cost: $26.51/claim|Median: $23.07
1.1× median
A4604Normal range

$49K

2,422 claims · 0.6%

Your Cost: $20.29/claim|Median: $22.01
0.9× median
A7046Top 1%

Water collection device for humidifier, each

$48K

2,477 claims · 0.6%

Your Cost: $19.22/claim|Median: $6.86
2.8× median
A7035Top 25%

$42K

1,970 claims · 0.5%

Your Cost: $21.42/claim|Median: $13.01
1.6× median
A7031Normal range

$36K

1,172 claims · 0.4%

Your Cost: $31.07/claim|Median: $25.17
1.2× median
E0470Normal range

$31K

607 claims · 0.4%

Your Cost: $51.02/claim|Median: $81.45
0.6× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$30K

39 claims · 0.4%

Your Cost: $776.35/claim|Median: $465.86
1.7× median
← All providersHow we detect fraud →