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Provider 1164586103

NPI: 1164586103Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.2M

$11,233,358

Total Claims

111K

Beneficiaries

75K

1.5 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+33%
2019
$1.9M
-37%
2020
$1.2M
-23%
2021
$953K
+19%
2022
$1.1M
+81%
2023
$2.1M
+19%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (L3000 (Foot insert, removable, molded to patient model)) accounts for 19% of total spending.

L3000Normal range

Foot insert, removable, molded to patient model

$2.1M

11K claims · 18.9%

Your Cost: $194.34/claim|Median: $205.41
0.9× median
A6545Normal range

$1.5M

16K claims · 13.1%

Your Cost: $93.39/claim|Median: $70.25
1.3× median
S1040Top 25%

Cranial remolding orthosis, per device

$1.1M

449 claims · 10.1%

Your Cost: $2,536.46/claim|Median: $1,936.44
1.3× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$688K

17K claims · 6.1%

Your Cost: $41.10/claim|Median: $33.21
1.2× median
A5513Normal range

Diabetic therapeutic shoe, each, custom molded

$528K

13K claims · 4.7%

Your Cost: $40.80/claim|Median: $40.80
1.0× median
L3908Normal range

$422K

10K claims · 3.8%

Your Cost: $41.07/claim|Median: $35.79
1.1× median
L1833Top 25%

$398K

990 claims · 3.5%

Your Cost: $402.49/claim|Median: $278.90
1.4× median
L1832Normal range

$398K

1,304 claims · 3.5%

Your Cost: $305.36/claim|Median: $303.44
1.0× median
L4360Normal range

$284K

2,119 claims · 2.5%

Your Cost: $134.07/claim|Median: $149.34
0.9× median
L3809Normal range

$280K

1,982 claims · 2.5%

Your Cost: $141.39/claim|Median: $115.28
1.2× median
L1970Normal range

$270K

725 claims · 2.4%

Your Cost: $372.71/claim|Median: $447.43
0.8× median
L1820Normal range

$244K

3,785 claims · 2.2%

Your Cost: $64.52/claim|Median: $73.16
0.9× median
L5673Top 10%

$225K

302 claims · 2.0%

Your Cost: $744.93/claim|Median: $425.42
1.8× median
L4361Normal range

$213K

1,287 claims · 1.9%

Your Cost: $165.50/claim|Median: $161.24
1.0× median
A4595Top 5%

$195K

2,575 claims · 1.7%

Your Cost: $75.86/claim|Median: $17.27
4.4× median
L2820Normal range

$190K

3,277 claims · 1.7%

Your Cost: $58.00/claim|Median: $56.23
1.0× median
L8030Top 25%

$181K

952 claims · 1.6%

Your Cost: $190.02/claim|Median: $162.05
1.2× median
L5301Normal range

$167K

107 claims · 1.5%

Your Cost: $1,558.00/claim|Median: $1,278.53
1.2× median
L2275Normal range

$160K

2,630 claims · 1.4%

Your Cost: $60.76/claim|Median: $81.97
0.7× median
L0627Normal range

$145K

742 claims · 1.3%

Your Cost: $194.94/claim|Median: $165.39
1.2× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$122K

3,763 claims · 1.1%

Your Cost: $32.49/claim|Median: $24.01
1.4× median
L1906Normal range

Ankle-foot orthosis, multiligamentous ankle support

$120K

1,557 claims · 1.1%

Your Cost: $76.76/claim|Median: $61.75
1.2× median
E0730Top 25%

$97K

701 claims · 0.9%

Your Cost: $139.03/claim|Median: $52.06
2.7× median
L1810Normal range

$94K

1,590 claims · 0.8%

Your Cost: $59.38/claim|Median: $62.31
1.0× median
L2270Normal range

$82K

2,224 claims · 0.7%

Your Cost: $36.90/claim|Median: $36.90
1.0× median
L4396Normal range

$77K

887 claims · 0.7%

Your Cost: $86.51/claim|Median: $95.98
0.9× median
L5671Top 25%

$57K

177 claims · 0.5%

Your Cost: $322.71/claim|Median: $202.19
1.6× median
L8000Normal range

$56K

1,332 claims · 0.5%

Your Cost: $41.96/claim|Median: $35.28
1.2× median
L5940Normal range

$51K

214 claims · 0.5%

Your Cost: $237.98/claim|Median: $185.49
1.3× median
L2397Top 25%

$45K

885 claims · 0.4%

Your Cost: $51.41/claim|Median: $9.37
5.5× median
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