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VISITING NURSE ASSOCIATION OF WISCONSIN, INC.

Pharmacy, Home Infusion Therapy Pharmacy·WEST ALLIS, WI·NPI: 1164612040Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.3M

$21,328,439

Total Claims

359K

Beneficiaries

301K

1.2 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-11%
2019
$3.3M
-4%
2020
$3.1M
+10%
2021
$3.5M
-5%
2022
$3.3M
-26%
2023
$2.4M
-17%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 12% of total spending.

E1390Top 25%

Oxygen concentrator, single delivery port

$2.6M

29K claims · 12.0%

Your Cost: $87.30/claim|Median: $45.11
1.9× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$2.4M

13K claims · 11.0%

Your Cost: $177.47/claim|Median: $117.24
1.5× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$2.0M

36K claims · 9.3%

Your Cost: $55.48/claim|Median: $35.30
1.6× median
A7030Top 5%

Full face mask for CPAP device

$1.6M

12K claims · 7.4%

Your Cost: $131.82/claim|Median: $56.36
2.3× median
B4160Normal range

Enteral formula, per 100 calories

$1.4M

7,346 claims · 6.5%

Your Cost: $188.11/claim|Median: $157.30
1.2× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$1.2M

2,885 claims · 5.5%

Your Cost: $407.74/claim|Median: $300.16
1.4× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$972K

2,299 claims · 4.6%

Your Cost: $422.69/claim|Median: $465.86
0.9× median
B4088Normal range

$904K

11K claims · 4.2%

Your Cost: $82.59/claim|Median: $73.20
1.1× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$883K

33K claims · 4.1%

Your Cost: $26.77/claim|Median: $18.68
1.4× median
A7034Top 5%

$705K

8,482 claims · 3.3%

Your Cost: $83.15/claim|Median: $35.90
2.3× median
E0431Top 5%

Portable gaseous oxygen system, rental

$687K

18K claims · 3.2%

Your Cost: $38.26/claim|Median: $10.37
3.7× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$635K

3,563 claims · 3.0%

Your Cost: $178.23/claim|Median: $92.20
1.9× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$629K

1,143 claims · 2.9%

Your Cost: $549.97/claim|Median: $583.21
0.9× median
A7035Top 5%

$548K

20K claims · 2.6%

Your Cost: $27.96/claim|Median: $13.01
2.1× median
A7037Top 5%

$496K

18K claims · 2.3%

Your Cost: $27.05/claim|Median: $10.56
2.6× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$406K

2,513 claims · 1.9%

Your Cost: $161.46/claim|Median: $89.79
1.8× median
E0470Normal range

$268K

2,935 claims · 1.3%

Your Cost: $91.16/claim|Median: $81.45
1.1× median
B9002Normal range

$219K

3,621 claims · 1.0%

Your Cost: $60.60/claim|Median: $54.41
1.1× median
E0570Normal range

Nebulizer, with compressor

$217K

5,989 claims · 1.0%

Your Cost: $36.15/claim|Median: $16.16
2.2× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$182K

18K claims · 0.9%

Your Cost: $10.34/claim|Median: $28.63
0.4× median
B4158Normal range

$153K

1,263 claims · 0.7%

Your Cost: $120.90/claim|Median: $145.71
0.8× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$144K

2,591 claims · 0.7%

Your Cost: $55.67/claim|Median: $31.59
1.8× median
A7046Top 25%

Water collection device for humidifier, each

$143K

12K claims · 0.7%

Your Cost: $12.05/claim|Median: $6.86
1.8× median
A4305Normal range

$126K

1,447 claims · 0.6%

Your Cost: $87.13/claim|Median: $76.95
1.1× median
A7038Top 25%

$122K

21K claims · 0.6%

Your Cost: $5.77/claim|Median: $3.53
1.6× median
B4034Normal range

$121K

1,906 claims · 0.6%

Your Cost: $63.68/claim|Median: $46.28
1.4× median
A4624Normal range

$119K

1,061 claims · 0.6%

Your Cost: $112.14/claim|Median: $107.53
1.0× median
K0001Top 25%

Standard wheelchair

$116K

3,924 claims · 0.5%

Your Cost: $29.57/claim|Median: $12.27
2.4× median
A4606Normal range

$98K

2,079 claims · 0.5%

Your Cost: $47.25/claim|Median: $50.63
0.9× median
A7526Top 25%

$97K

1,328 claims · 0.5%

Your Cost: $73.22/claim|Median: $33.61
2.2× median
E0245Normal range

$92K

1,804 claims · 0.4%

Your Cost: $51.13/claim|Median: $42.10
1.2× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$87K

348 claims · 0.4%

Your Cost: $248.68/claim|Median: $210.29
1.2× median
A7031Normal range

$78K

2,602 claims · 0.4%

Your Cost: $29.83/claim|Median: $25.17
1.2× median
E1392Top 25%

$77K

4,086 claims · 0.4%

Your Cost: $18.77/claim|Median: $10.81
1.7× median
E0260Top 25%

Hospital bed, semi-electric

$75K

1,463 claims · 0.4%

Your Cost: $51.30/claim|Median: $23.07
2.2× median
A4483Normal range

$64K

453 claims · 0.3%

Your Cost: $141.55/claim|Median: $91.41
1.5× median
E0445Normal range

$58K

1,144 claims · 0.3%

Your Cost: $50.76/claim|Median: $118.11
0.4× median
A7008Normal range

$57K

622 claims · 0.3%

Your Cost: $91.62/claim|Median: $99.15
0.9× median
E0114Top 25%

$55K

1,498 claims · 0.3%

Your Cost: $36.83/claim|Median: $29.11
1.3× median
B4155Normal range

$55K

1,453 claims · 0.3%

Your Cost: $37.70/claim|Median: $46.72
0.8× median
A7005Normal range

$42K

2,486 claims · 0.2%

Your Cost: $17.04/claim|Median: $12.44
1.4× median
E0600Normal range

$42K

1,541 claims · 0.2%

Your Cost: $27.24/claim|Median: $25.31
1.1× median
B4153Normal range

$42K

77 claims · 0.2%

Your Cost: $544.73/claim|Median: $410.73
1.3× median
A9276Normal range

Breath test analyzer, FDA approved, disposable

$36K

147 claims · 0.2%

Your Cost: $245.88/claim|Median: $294.58
0.8× median
A4322Normal range

$29K

3,070 claims · 0.1%

Your Cost: $9.39/claim|Median: $14.10
0.7× median
B4036Normal range

$28K

261 claims · 0.1%

Your Cost: $106.80/claim|Median: $74.87
1.4× median
S1015Normal range

$25K

4,580 claims · 0.1%

Your Cost: $5.37/claim|Median: $5.10
1.1× median
A6209Normal range

$23K

642 claims · 0.1%

Your Cost: $36.46/claim|Median: $55.36
0.7× median
E0156Top 5%

$23K

1,447 claims · 0.1%

Your Cost: $15.88/claim|Median: $7.15
2.2× median
A4216Normal range

$23K

6,197 claims · 0.1%

Your Cost: $3.66/claim|Median: $8.45
0.4× median

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