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Provider 1184785891

NPI: 1184785891Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.1M

$11,145,300

Total Claims

159K

Beneficiaries

20K

7.8 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$396K
-7%
2019
$369K
+139%
2020
$880K
+22%
2021
$1.1M
+99%
2022
$2.1M
+56%
2023
$3.3M
-11%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (Q5103) accounts for 32% of total spending.

Q5103Top 5%

$3.6M

995 claims · 32.1%

Your Cost: $3,600.09/claim|Median: $1,075.28
3.3× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$2.7M

134K claims · 24.7%

Your Cost: $20.45/claim|Median: $176.25
0.1× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$1.3M

1,989 claims · 11.7%

Your Cost: $654.90/claim|Median: $465.86
1.4× median
99601Top 25%

$937K

7,831 claims · 8.4%

Your Cost: $119.66/claim|Median: $82.41
1.5× median
B4160Top 5%

Enteral formula, per 100 calories

$907K

2,625 claims · 8.1%

Your Cost: $345.41/claim|Median: $157.30
2.2× median
B4185Top 25%

$551K

2,726 claims · 4.9%

Your Cost: $202.15/claim|Median: $134.70
1.5× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$269K

1,416 claims · 2.4%

Your Cost: $190.17/claim|Median: $117.24
1.6× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$229K

873 claims · 2.1%

Your Cost: $261.85/claim|Median: $300.16
0.9× median
E0465Top 10%

Home ventilator, any type, used with invasive interface

$219K

223 claims · 2.0%

Your Cost: $980.87/claim|Median: $583.21
1.7× median
99602Normal range

$82K

1,129 claims · 0.7%

Your Cost: $73.04/claim|Median: $84.91
0.9× median
A4606Top 5%

$68K

294 claims · 0.6%

Your Cost: $229.63/claim|Median: $50.63
4.5× median
S9500Normal range

$61K

606 claims · 0.6%

Your Cost: $101.20/claim|Median: $144.40
0.7× median
S9359Normal range

$56K

1,128 claims · 0.5%

Your Cost: $49.91/claim|Median: $62.59
0.8× median
E1390Top 5%

Oxygen concentrator, single delivery port

$23K

196 claims · 0.2%

Your Cost: $115.80/claim|Median: $45.11
2.6× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$22K

237 claims · 0.2%

Your Cost: $91.75/claim|Median: $92.20
1.0× median
A4605Normal range

$15K

79 claims · 0.1%

Your Cost: $188.31/claim|Median: $121.51
1.5× median
B4088Normal range

$14K

275 claims · 0.1%

Your Cost: $50.19/claim|Median: $73.20
0.7× median
E0445Normal range

$13K

109 claims · 0.1%

Your Cost: $117.12/claim|Median: $118.11
1.0× median
A7526Top 25%

$12K

224 claims · 0.1%

Your Cost: $55.76/claim|Median: $33.61
1.7× median
A4222Top 25%

$11K

65 claims · 0.1%

Your Cost: $176.30/claim|Median: $62.70
2.8× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$7K

52 claims · 0.1%

Your Cost: $137.84/claim|Median: $89.79
1.5× median
E0431Top 10%

Portable gaseous oxygen system, rental

$7K

299 claims · 0.1%

Your Cost: $22.99/claim|Median: $10.37
2.2× median
A4624Top 25%

$3K

15 claims · 0.0%

Your Cost: $196.97/claim|Median: $107.53
1.8× median
A7000Normal range

$2K

288 claims · 0.0%

Your Cost: $7.98/claim|Median: $11.83
0.7× median
A4216Normal range

$2K

158 claims · 0.0%

Your Cost: $13.35/claim|Median: $8.45
1.6× median
A4927Top 25%

Gloves, non-sterile, per 100

$1K

55 claims · 0.0%

Your Cost: $21.27/claim|Median: $12.90
1.6× median
A7003Top 25%

Administration set for nebulizer, with small volume

$471

148 claims · 0.0%

Your Cost: $3.18/claim|Median: $1.48
2.1× median
A4217Top 25%

Sterile water or saline for nebulizer, per unit

$464

14 claims · 0.0%

Your Cost: $33.13/claim|Median: $13.14
2.5× median
A7002Normal range

$320

92 claims · 0.0%

Your Cost: $3.48/claim|Median: $4.97
0.7× median
A4628Normal range

$118

13 claims · 0.0%

Your Cost: $9.05/claim|Median: $7.48
1.2× median