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Provider 1164533014

NPI: 1164533014Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,663,635

Total Claims

190K

Beneficiaries

186K

1.0 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$815K
+66%
2019
$1.4M
+15%
2020
$1.5M
-12%
2021
$1.4M
-11%
2022
$1.2M
-0%
2023
$1.2M
-5%
2024
$1.2M

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 28% of total spending.

E1390Top 25%

Oxygen concentrator, single delivery port

$2.4M

29K claims · 27.6%

Your Cost: $82.69/claim|Median: $45.11
1.8× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$1.4M

2,808 claims · 16.3%

Your Cost: $502.48/claim|Median: $583.21
0.9× median
E0445Normal range

$440K

3,777 claims · 5.1%

Your Cost: $116.59/claim|Median: $118.11
1.0× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$423K

8,336 claims · 4.9%

Your Cost: $50.71/claim|Median: $35.30
1.4× median
A4624Normal range

$397K

2,779 claims · 4.6%

Your Cost: $142.91/claim|Median: $107.53
1.3× median
E0431Top 25%

Portable gaseous oxygen system, rental

$308K

17K claims · 3.6%

Your Cost: $17.80/claim|Median: $10.37
1.7× median
A7030Normal range

Full face mask for CPAP device

$251K

4,367 claims · 2.9%

Your Cost: $57.50/claim|Median: $56.36
1.0× median
E0570Normal range

Nebulizer, with compressor

$221K

8,158 claims · 2.6%

Your Cost: $27.09/claim|Median: $16.16
1.7× median
E0470Normal range

$209K

2,028 claims · 2.4%

Your Cost: $103.18/claim|Median: $81.45
1.3× median
A4629Top 5%

$176K

1,468 claims · 2.0%

Your Cost: $119.93/claim|Median: $54.42
2.2× median
E1392Top 5%

$158K

3,272 claims · 1.8%

Your Cost: $48.26/claim|Median: $10.81
4.5× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$152K

2,138 claims · 1.8%

Your Cost: $70.95/claim|Median: $18.68
3.8× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$140K

2,918 claims · 1.6%

Your Cost: $48.10/claim|Median: $31.59
1.5× median
A7031Normal range

$140K

4,918 claims · 1.6%

Your Cost: $28.48/claim|Median: $25.17
1.1× median
K0001Top 25%

Standard wheelchair

$140K

6,411 claims · 1.6%

Your Cost: $21.81/claim|Median: $12.27
1.8× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$127K

931 claims · 1.5%

Your Cost: $136.73/claim|Median: $117.24
1.2× median
E0630Top 25%

$82K

1,612 claims · 0.9%

Your Cost: $50.97/claim|Median: $23.70
2.2× median
A4554Top 5%

Disposable underpads, all sizes

$76K

1,007 claims · 0.9%

Your Cost: $75.95/claim|Median: $37.02
2.1× median
A7034Normal range

$75K

3,068 claims · 0.9%

Your Cost: $24.47/claim|Median: $35.90
0.7× median
E0466Normal range

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

$70K

215 claims · 0.8%

Your Cost: $326.48/claim|Median: $317.50
1.0× median
E0261Top 10%

$69K

1,093 claims · 0.8%

Your Cost: $63.36/claim|Median: $19.15
3.3× median
A7000Normal range

$66K

4,991 claims · 0.8%

Your Cost: $13.29/claim|Median: $11.83
1.1× median
A7520Normal range

$66K

1,676 claims · 0.8%

Your Cost: $39.40/claim|Median: $49.59
0.8× median
A7035Normal range

$66K

5,674 claims · 0.8%

Your Cost: $11.55/claim|Median: $13.01
0.9× median
E0260Normal range

Hospital bed, semi-electric

$63K

2,295 claims · 0.7%

Your Cost: $27.43/claim|Median: $23.07
1.2× median
T4522Normal range

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

$56K

573 claims · 0.6%

Your Cost: $97.24/claim|Median: $84.50
1.2× median
A7032Normal range

$55K

2,755 claims · 0.6%

Your Cost: $20.14/claim|Median: $25.48
0.8× median
E0482Normal range

$52K

316 claims · 0.6%

Your Cost: $164.55/claim|Median: $246.17
0.7× median
A7037Normal range

$48K

6,226 claims · 0.5%

Your Cost: $7.63/claim|Median: $10.56
0.7× median
E0600Top 25%

$47K

1,063 claims · 0.5%

Your Cost: $44.15/claim|Median: $25.31
1.7× median
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