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Provider 1174573513

NPI: 1174573513Share
Active Billing Period:2018-01→2021-09(45 months)
Billing appears to have stoppedLast active: 2021-09

Total Paid

$10.8M

$10,817,951

Total Claims

120K

Beneficiaries

91K

1.3 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+10%
2019
$2.9M
+10%
2020
$3.2M
-30%
2021
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0465 (Home ventilator, any type, used with invasive interface)) accounts for 26% of total spending.

E0465Normal range

Home ventilator, any type, used with invasive interface

$2.8M

4,122 claims · 25.9%

Your Cost: $680.13/claim|Median: $583.21
1.2× median
E0466Normal range

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

$1.6M

3,871 claims · 15.1%

Your Cost: $421.84/claim|Median: $317.50
1.3× median
E1390Top 10%

Oxygen concentrator, single delivery port

$1.2M

12K claims · 10.7%

Your Cost: $94.40/claim|Median: $45.11
2.1× median
E0445Normal range

$974K

6,233 claims · 9.0%

Your Cost: $156.33/claim|Median: $118.11
1.3× median
E1399Normal range

Durable medical equipment, miscellaneous

$962K

3,434 claims · 8.9%

Your Cost: $280.18/claim|Median: $104.06
2.7× median
A4483Top 10%

$513K

2,002 claims · 4.7%

Your Cost: $256.41/claim|Median: $91.41
2.8× median
A4624Normal range

$352K

3,230 claims · 3.3%

Your Cost: $109.01/claim|Median: $107.53
1.0× median
A4623Top 25%

$328K

3,138 claims · 3.0%

Your Cost: $104.54/claim|Median: $60.83
1.7× median
K0738Top 25%

$276K

9,788 claims · 2.6%

Your Cost: $28.23/claim|Median: $17.69
1.6× median
A4629Normal range

$276K

3,945 claims · 2.5%

Your Cost: $69.88/claim|Median: $54.42
1.3× median
E0570Top 10%

Nebulizer, with compressor

$229K

2,612 claims · 2.1%

Your Cost: $87.77/claim|Median: $16.16
5.4× median
A4217Top 25%

Sterile water or saline for nebulizer, per unit

$214K

5,293 claims · 2.0%

Your Cost: $40.40/claim|Median: $13.14
3.1× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$131K

3,403 claims · 1.2%

Your Cost: $38.54/claim|Median: $35.30
1.1× median
A7526Normal range

$101K

3,895 claims · 0.9%

Your Cost: $25.90/claim|Median: $33.61
0.8× median
A7000Top 25%

$101K

4,891 claims · 0.9%

Your Cost: $20.60/claim|Median: $11.83
1.7× median
L8501Normal range

$93K

1,756 claims · 0.9%

Your Cost: $52.79/claim|Median: $64.66
0.8× median
E0600Top 25%

$75K

1,774 claims · 0.7%

Your Cost: $42.13/claim|Median: $25.31
1.7× median
E0619Normal range

$58K

299 claims · 0.5%

Your Cost: $195.45/claim|Median: $163.70
1.2× median
A7520Normal range

$50K

1,435 claims · 0.5%

Your Cost: $34.58/claim|Median: $49.59
0.7× median
A7005Top 10%

$48K

2,208 claims · 0.4%

Your Cost: $21.89/claim|Median: $12.44
1.8× median
A4627Top 25%

$48K

1,347 claims · 0.4%

Your Cost: $35.60/claim|Median: $21.89
1.6× median
A7030Top 25%

Full face mask for CPAP device

$42K

532 claims · 0.4%

Your Cost: $79.24/claim|Median: $56.36
1.4× median
W4047Normal range

$31K

2,411 claims · 0.3%

Your Cost: $12.85/claim|Median: $12.85
1.0× median
A4628Normal range

$29K

3,137 claims · 0.3%

Your Cost: $9.18/claim|Median: $7.48
1.2× median
E0565Top 10%

$27K

396 claims · 0.3%

Your Cost: $69.04/claim|Median: $28.42
2.4× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$26K

234 claims · 0.2%

Your Cost: $112.30/claim|Median: $18.68
6.0× median
K0001Top 10%

Standard wheelchair

$25K

763 claims · 0.2%

Your Cost: $32.25/claim|Median: $12.27
2.6× median
E0482Normal range

$21K

89 claims · 0.2%

Your Cost: $237.20/claim|Median: $246.17
1.0× median
A7037Top 25%

$21K

1,102 claims · 0.2%

Your Cost: $18.84/claim|Median: $10.56
1.8× median
A7035Top 25%

$19K

1,032 claims · 0.2%

Your Cost: $18.53/claim|Median: $13.01
1.4× median
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