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Provider 1205995164

NPI: 1205995164Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,203,939

Total Claims

164K

Beneficiaries

154K

1.1 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$257K
+37%
2019
$353K
+49%
2020
$527K
+26%
2021
$664K
+149%
2022
$1.7M
+98%
2023
$3.3M
-25%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (E0601 (Continuous positive airway pressure (CPAP) device)) accounts for 41% of total spending.

E0601Top 5%

Continuous positive airway pressure (CPAP) device

$3.8M

39K claims · 41.4%

Your Cost: $97.83/claim|Median: $35.30
2.8× median
E0562Top 10%

Humidifier, heated, used with positive airway pressure device

$1.3M

8,764 claims · 14.0%

Your Cost: $147.12/claim|Median: $18.68
7.9× median
A7030Top 10%

Full face mask for CPAP device

$1.2M

12K claims · 13.1%

Your Cost: $100.75/claim|Median: $56.36
1.8× median
A7031Top 25%

$657K

16K claims · 7.1%

Your Cost: $40.11/claim|Median: $25.17
1.6× median
E0470Top 5%

$472K

1,965 claims · 5.1%

Your Cost: $240.01/claim|Median: $81.45
2.9× median
A7037Top 5%

$435K

17K claims · 4.7%

Your Cost: $25.06/claim|Median: $10.56
2.4× median
A7034Top 10%

$389K

5,460 claims · 4.2%

Your Cost: $71.19/claim|Median: $35.90
2.0× median
A7035Top 10%

$287K

13K claims · 3.1%

Your Cost: $22.47/claim|Median: $13.01
1.7× median
A7032Top 10%

$254K

4,804 claims · 2.8%

Your Cost: $52.92/claim|Median: $25.48
2.1× median
A7038Top 25%

$227K

34K claims · 2.5%

Your Cost: $6.74/claim|Median: $3.53
1.9× median
A7033Top 25%

$87K

2,313 claims · 0.9%

Your Cost: $37.74/claim|Median: $20.57
1.8× median
A7046Top 25%

Water collection device for humidifier, each

$41K

4,017 claims · 0.4%

Your Cost: $10.19/claim|Median: $6.86
1.5× median
A7039Top 25%

$33K

3,947 claims · 0.4%

Your Cost: $8.40/claim|Median: $4.54
1.8× median
A7036Top 25%

$13K

1,203 claims · 0.1%

Your Cost: $10.72/claim|Median: $7.69
1.4× median
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