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Provider 1184607335

NPI: 1184607335Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,640,169

Total Claims

22K

Beneficiaries

16K

1.3 claims/patient

Avg Cost/Claim

$354

Monthly Spending Trend

Yearly Spending

2018
$446K
+117%
2019
$965K
-21%
2020
$765K
+56%
2021
$1.2M
+25%
2022
$1.5M
+1%
2023
$1.5M
-14%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S1040 (Cranial remolding orthosis, per device)) accounts for 47% of total spending.

S1040Normal range

Cranial remolding orthosis, per device

$3.6M

2,317 claims · 46.8%

Your Cost: $1,542.77/claim|Median: $1,936.44
0.8× median
L1970Normal range

$926K

1,851 claims · 12.1%

Your Cost: $500.39/claim|Median: $447.43
1.1× median
L1960Normal range

$776K

1,670 claims · 10.2%

Your Cost: $464.61/claim|Median: $395.95
1.2× median
L2280Top 25%

$769K

1,844 claims · 10.1%

Your Cost: $417.03/claim|Median: $292.43
1.4× median
L1907Normal range

$607K

1,464 claims · 7.9%

Your Cost: $414.28/claim|Median: $399.34
1.0× median
E1028Normal range

$188K

3,316 claims · 2.5%

Your Cost: $56.64/claim|Median: $54.00
1.0× median
L5673Normal range

$179K

564 claims · 2.3%

Your Cost: $316.73/claim|Median: $425.42
0.7× median
L2820Normal range

$91K

1,679 claims · 1.2%

Your Cost: $54.14/claim|Median: $56.23
1.0× median
L5637Normal range

$58K

462 claims · 0.8%

Your Cost: $126.25/claim|Median: $126.39
1.0× median
E0955Normal range

$55K

1,553 claims · 0.7%

Your Cost: $35.42/claim|Median: $43.51
0.8× median
L5620Normal range

$52K

417 claims · 0.7%

Your Cost: $125.76/claim|Median: $158.44
0.8× median
L5671Normal range

$48K

330 claims · 0.6%

Your Cost: $144.12/claim|Median: $202.19
0.7× median
L5629Normal range

$36K

352 claims · 0.5%

Your Cost: $101.79/claim|Median: $115.47
0.9× median
L2200Normal range

$32K

869 claims · 0.4%

Your Cost: $36.97/claim|Median: $37.26
1.0× median
E2617Normal range

$32K

46 claims · 0.4%

Your Cost: $691.25/claim|Median: $939.89
0.7× median
L8420Normal range

$27K

652 claims · 0.4%

Your Cost: $41.54/claim|Median: $49.62
0.8× median
E0956Top 25%

$25K

166 claims · 0.3%

Your Cost: $152.31/claim|Median: $106.01
1.4× median
L5940Normal range

$24K

336 claims · 0.3%

Your Cost: $71.44/claim|Median: $185.49
0.4× median
L5981Normal range

$22K

14 claims · 0.3%

Your Cost: $1,553.13/claim|Median: $1,553.13
1.0× median
E2609Normal range

$20K

30 claims · 0.3%

Your Cost: $663.25/claim|Median: $840.30
0.8× median
L5301Normal range

$16K

17 claims · 0.2%

Your Cost: $968.84/claim|Median: $1,278.53
0.8× median
L4361Normal range

$16K

95 claims · 0.2%

Your Cost: $171.82/claim|Median: $161.24
1.1× median
L5679Normal range

$9K

35 claims · 0.1%

Your Cost: $263.58/claim|Median: $427.04
0.6× median
L5910Normal range

$9K

201 claims · 0.1%

Your Cost: $44.75/claim|Median: $133.21
0.3× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$8K

192 claims · 0.1%

Your Cost: $43.00/claim|Median: $33.21
1.3× median
L1940Normal range

$7K

21 claims · 0.1%

Your Cost: $322.70/claim|Median: $326.72
1.0× median
L8470Normal range

$6K

471 claims · 0.1%

Your Cost: $13.31/claim|Median: $14.97
0.9× median
L2210Normal range

$5K

83 claims · 0.1%

Your Cost: $60.43/claim|Median: $62.19
1.0× median
L3649Normal range

$4K

142 claims · 0.1%

Your Cost: $29.99/claim|Median: $29.99
1.0× median
L5685Normal range

$4K

41 claims · 0.0%

Your Cost: $87.85/claim|Median: $89.68
1.0× median
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