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Provider 1154338184

NPI: 1154338184Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.8M

$16,784,735

Total Claims

350K

Beneficiaries

313K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+64%
2019
$2.8M
-11%
2020
$2.5M
+20%
2021
$3.0M
-20%
2022
$2.4M
+1%
2023
$2.4M
-19%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 31% of total spending.

E1390Top 10%

Oxygen concentrator, single delivery port

$5.2M

50K claims · 31.2%

Your Cost: $104.34/claim|Median: $45.11
2.3× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$1.4M

25K claims · 8.4%

Your Cost: $56.27/claim|Median: $35.30
1.6× median
A7030Top 10%

Full face mask for CPAP device

$1.2M

12K claims · 7.0%

Your Cost: $102.81/claim|Median: $56.36
1.8× median
E0570Normal range

Nebulizer, with compressor

$752K

22K claims · 4.5%

Your Cost: $34.81/claim|Median: $16.16
2.2× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$550K

21K claims · 3.3%

Your Cost: $26.00/claim|Median: $18.68
1.4× median
E0431Top 25%

Portable gaseous oxygen system, rental

$532K

27K claims · 3.2%

Your Cost: $19.94/claim|Median: $10.37
1.9× median
A4604Top 25%

$513K

15K claims · 3.1%

Your Cost: $34.29/claim|Median: $22.01
1.6× median
E0470Top 25%

$479K

3,360 claims · 2.9%

Your Cost: $142.55/claim|Median: $81.45
1.8× median
E0143Top 5%

Walker, folding, wheeled, adjustable or fixed height

$376K

5,323 claims · 2.2%

Your Cost: $70.72/claim|Median: $31.59
2.2× median
L4361Normal range

$376K

3,543 claims · 2.2%

Your Cost: $106.20/claim|Median: $161.24
0.7× median
E1392Top 25%

$372K

16K claims · 2.2%

Your Cost: $23.10/claim|Median: $10.81
2.1× median
E0619Top 10%

$365K

1,521 claims · 2.2%

Your Cost: $240.11/claim|Median: $163.70
1.5× median
K0001Top 25%

Standard wheelchair

$351K

12K claims · 2.1%

Your Cost: $28.92/claim|Median: $12.27
2.4× median
A7034Top 10%

$344K

4,912 claims · 2.1%

Your Cost: $70.06/claim|Median: $35.90
2.0× median
A7035Top 10%

$335K

13K claims · 2.0%

Your Cost: $24.98/claim|Median: $13.01
1.9× median
E0260Top 25%

Hospital bed, semi-electric

$289K

6,397 claims · 1.7%

Your Cost: $45.15/claim|Median: $23.07
2.0× median
E0114Normal range

$251K

7,654 claims · 1.5%

Your Cost: $32.84/claim|Median: $29.11
1.1× median
E0603Normal range

Breast pump, electric, any type

$228K

1,982 claims · 1.4%

Your Cost: $115.08/claim|Median: $131.70
0.9× median
A7031Top 25%

$221K

6,332 claims · 1.3%

Your Cost: $34.92/claim|Median: $25.17
1.4× median
A7005Top 25%

$202K

10K claims · 1.2%

Your Cost: $19.49/claim|Median: $12.44
1.6× median
L3809Normal range

$196K

1,872 claims · 1.2%

Your Cost: $104.82/claim|Median: $115.28
0.9× median
E0240Normal range

$162K

1,611 claims · 1.0%

Your Cost: $100.85/claim|Median: $62.75
1.6× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$152K

635 claims · 0.9%

Your Cost: $239.00/claim|Median: $210.29
1.1× median
A7038Top 25%

$136K

21K claims · 0.8%

Your Cost: $6.44/claim|Median: $3.53
1.8× median
E0466Normal range

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

$135K

343 claims · 0.8%

Your Cost: $394.99/claim|Median: $317.50
1.2× median
K0007Top 25%

$132K

1,601 claims · 0.8%

Your Cost: $82.34/claim|Median: $54.90
1.5× median
A7032Top 25%

$130K

3,237 claims · 0.8%

Your Cost: $40.19/claim|Median: $25.48
1.6× median
A7046Top 10%

Water collection device for humidifier, each

$123K

9,995 claims · 0.7%

Your Cost: $12.30/claim|Median: $6.86
1.8× median
E0247Top 25%

$113K

1,086 claims · 0.7%

Your Cost: $103.84/claim|Median: $75.27
1.4× median
E0630Top 25%

$104K

2,257 claims · 0.6%

Your Cost: $46.19/claim|Median: $23.70
1.9× median
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