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Provider 1164609699

NPI: 1164609699Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.9M

$7,942,283

Total Claims

58K

Beneficiaries

36K

1.6 claims/patient

Avg Cost/Claim

$137

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-48%
2019
$1.2M
-29%
2020
$886K
+3%
2021
$913K
-8%
2022
$843K
+10%
2023
$931K
-23%
2024
$712K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 52% of total spending.

E1399Normal range

Durable medical equipment, miscellaneous

$4.1M

9,146 claims · 51.7%

Your Cost: $449.34/claim|Median: $104.06
4.3× median
K0108Normal range

Wheelchair component or accessory, NOS

$630K

7,915 claims · 7.9%

Your Cost: $79.55/claim|Median: $153.75
0.5× median
E1028Normal range

$546K

8,939 claims · 6.9%

Your Cost: $61.13/claim|Median: $54.00
1.1× median
E1161Normal range

$409K

1,431 claims · 5.1%

Your Cost: $285.72/claim|Median: $200.27
1.4× median
K0823Normal range

Power wheelchair, Group 2

$283K

1,912 claims · 3.6%

Your Cost: $148.15/claim|Median: $95.35
1.6× median
K0739Normal range

$241K

8,832 claims · 3.0%

Your Cost: $27.29/claim|Median: $34.09
0.8× median
E0973Normal range

$169K

2,745 claims · 2.1%

Your Cost: $61.52/claim|Median: $42.75
1.4× median
E0955Normal range

$151K

3,247 claims · 1.9%

Your Cost: $46.36/claim|Median: $43.51
1.1× median
E2617Normal range

$150K

198 claims · 1.9%

Your Cost: $756.45/claim|Median: $939.89
0.8× median
E0956Normal range

$114K

1,181 claims · 1.4%

Your Cost: $96.37/claim|Median: $106.01
0.9× median
E0240Top 10%

$110K

84 claims · 1.4%

Your Cost: $1,313.31/claim|Median: $62.75
20.9× median
E1010Top 1%

$103K

99 claims · 1.3%

Your Cost: $1,036.50/claim|Median: $401.35
2.6× median
E2609Normal range

$102K

158 claims · 1.3%

Your Cost: $646.17/claim|Median: $840.30
0.8× median
E1223Top 25%

$98K

60 claims · 1.2%

Your Cost: $1,633.73/claim|Median: $880.58
1.9× median
K0040Normal range

$83K

1,487 claims · 1.1%

Your Cost: $56.15/claim|Median: $62.90
0.9× median
E2361Normal range

$75K

782 claims · 0.9%

Your Cost: $95.27/claim|Median: $99.84
1.0× median
E1012Normal range

$52K

740 claims · 0.7%

Your Cost: $70.40/claim|Median: $491.22
0.1× median
E0971Top 25%

$51K

1,218 claims · 0.6%

Your Cost: $42.12/claim|Median: $13.46
3.1× median
E0960Normal range

$50K

1,001 claims · 0.6%

Your Cost: $49.56/claim|Median: $58.78
0.8× median
E2607Normal range

$43K

431 claims · 0.5%

Your Cost: $99.52/claim|Median: $150.23
0.7× median
E2392Normal range

$40K

872 claims · 0.5%

Your Cost: $45.31/claim|Median: $53.88
0.8× median
K0825Normal range

$39K

244 claims · 0.5%

Your Cost: $161.08/claim|Median: $150.86
1.1× median
E2374Normal range

$38K

182 claims · 0.5%

Your Cost: $209.41/claim|Median: $169.27
1.2× median
E2622Normal range

$36K

339 claims · 0.5%

Your Cost: $107.58/claim|Median: $161.92
0.7× median
E2386Normal range

$36K

343 claims · 0.5%

Your Cost: $104.32/claim|Median: $99.07
1.1× median
E2620Normal range

$34K

187 claims · 0.4%

Your Cost: $181.25/claim|Median: $232.23
0.8× median
E0978Normal range

$33K

2,118 claims · 0.4%

Your Cost: $15.46/claim|Median: $14.50
1.1× median
E2370Normal range

$21K

56 claims · 0.3%

Your Cost: $371.87/claim|Median: $230.69
1.6× median
E2211Normal range

$17K

608 claims · 0.2%

Your Cost: $28.27/claim|Median: $35.48
0.8× median
E2394Normal range

$16K

331 claims · 0.2%

Your Cost: $48.30/claim|Median: $49.65
1.0× median
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