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Provider 1154611648

NPI: 1154611648Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,760,925

Total Claims

153K

Beneficiaries

108K

1.4 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$997K
-3%
2019
$968K
+28%
2020
$1.2M
-1%
2021
$1.2M
+12%
2022
$1.4M
-6%
2023
$1.3M
-47%
2024
$684K

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.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.6M

12K claims · 20.4%

Your Cost: $127.61/claim|Median: $117.24
1.1× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.4M

4,377 claims · 18.5%

Your Cost: $328.86/claim|Median: $465.86
0.7× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.0M

20K claims · 13.5%

Your Cost: $51.96/claim|Median: $45.11
1.2× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$415K

3,914 claims · 5.3%

Your Cost: $106.07/claim|Median: $92.20
1.2× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$311K

1,199 claims · 4.0%

Your Cost: $259.61/claim|Median: $300.16
0.9× median
A7030Top 25%

Full face mask for CPAP device

$280K

3,521 claims · 3.6%

Your Cost: $79.49/claim|Median: $56.36
1.4× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$224K

4,792 claims · 2.9%

Your Cost: $46.84/claim|Median: $31.59
1.5× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$196K

6,457 claims · 2.5%

Your Cost: $30.39/claim|Median: $35.30
0.9× median
B4034Normal range

$191K

4,184 claims · 2.5%

Your Cost: $45.70/claim|Median: $46.28
1.0× median
B4088Normal range

$166K

2,145 claims · 2.1%

Your Cost: $77.27/claim|Median: $73.20
1.1× median
B9002Normal range

$152K

2,245 claims · 2.0%

Your Cost: $67.69/claim|Median: $54.41
1.2× median
B4160Normal range

Enteral formula, per 100 calories

$150K

1,921 claims · 1.9%

Your Cost: $78.05/claim|Median: $157.30
0.5× median
E0260Normal range

Hospital bed, semi-electric

$130K

4,371 claims · 1.7%

Your Cost: $29.63/claim|Median: $23.07
1.3× median
E0431Normal range

Portable gaseous oxygen system, rental

$121K

13K claims · 1.6%

Your Cost: $8.99/claim|Median: $10.37
0.9× median
E0163Top 25%

$96K

1,943 claims · 1.2%

Your Cost: $49.24/claim|Median: $27.98
1.8× median
K0001Normal range

Standard wheelchair

$96K

7,087 claims · 1.2%

Your Cost: $13.48/claim|Median: $12.27
1.1× median
K0003Normal range

$85K

3,306 claims · 1.1%

Your Cost: $25.72/claim|Median: $18.14
1.4× median
A7031Normal range

$77K

2,828 claims · 1.0%

Your Cost: $27.25/claim|Median: $25.17
1.1× median
E0445Normal range

$76K

773 claims · 1.0%

Your Cost: $98.00/claim|Median: $118.11
0.8× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$72K

683 claims · 0.9%

Your Cost: $105.62/claim|Median: $89.79
1.2× median
A4629Normal range

$71K

1,174 claims · 0.9%

Your Cost: $60.36/claim|Median: $54.42
1.1× median
A7037Top 25%

$66K

3,916 claims · 0.9%

Your Cost: $16.97/claim|Median: $10.56
1.6× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$64K

3,388 claims · 0.8%

Your Cost: $18.94/claim|Median: $18.68
1.0× median
A7034Top 25%

$61K

1,133 claims · 0.8%

Your Cost: $53.44/claim|Median: $35.90
1.5× median
E0570Normal range

Nebulizer, with compressor

$60K

5,942 claims · 0.8%

Your Cost: $10.08/claim|Median: $16.16
0.6× median
A4624Normal range

$57K

789 claims · 0.7%

Your Cost: $72.84/claim|Median: $107.53
0.7× median
E0600Normal range

$52K

2,279 claims · 0.7%

Your Cost: $22.88/claim|Median: $25.31
0.9× median
A7035Normal range

$36K

2,078 claims · 0.5%

Your Cost: $17.18/claim|Median: $13.01
1.3× median
K0195Normal range

$33K

4,230 claims · 0.4%

Your Cost: $7.80/claim|Median: $4.65
1.7× median
E0630Normal range

$28K

864 claims · 0.4%

Your Cost: $32.88/claim|Median: $23.70
1.4× median
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