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Provider 1215933791

NPI: 1215933791Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.2M

$17,168,727

Total Claims

83K

Beneficiaries

74K

1.1 claims/patient

Avg Cost/Claim

$206

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-38%
2019
$2.0M
+41%
2020
$2.8M
-16%
2021
$2.4M
-5%
2022
$2.3M
+3%
2023
$2.3M
-10%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1161) accounts for 13% of total spending.

E1161Normal range

$2.3M

8,818 claims · 13.4%

Your Cost: $260.72/claim|Median: $200.27
1.3× median
E1399Top 5%

Durable medical equipment, miscellaneous

$2.3M

1,083 claims · 13.3%

Your Cost: $2,112.74/claim|Median: $104.06
20.3× median
K0739Top 1%

$2.2M

9,810 claims · 12.6%

Your Cost: $220.70/claim|Median: $34.09
6.5× median
K0108Top 25%

Wheelchair component or accessory, NOS

$2.0M

6,751 claims · 11.4%

Your Cost: $290.34/claim|Median: $153.75
1.9× median
K0861Top 10%

$1.8M

402 claims · 10.6%

Your Cost: $4,517.99/claim|Median: $2,607.07
1.7× median
E1007Top 10%

$949K

180 claims · 5.5%

Your Cost: $5,271.51/claim|Median: $3,203.03
1.6× median
K0005Normal range

$588K

532 claims · 3.4%

Your Cost: $1,104.39/claim|Median: $1,060.57
1.0× median
E2361Top 5%

$453K

1,555 claims · 2.6%

Your Cost: $291.38/claim|Median: $99.84
2.9× median
E2620Normal range

$420K

1,561 claims · 2.4%

Your Cost: $269.08/claim|Median: $232.23
1.2× median
E2617Normal range

$417K

473 claims · 2.4%

Your Cost: $880.72/claim|Median: $939.89
0.9× median
E2311Normal range

$413K

438 claims · 2.4%

Your Cost: $943.33/claim|Median: $879.38
1.1× median
E0955Normal range

$374K

10K claims · 2.2%

Your Cost: $36.23/claim|Median: $43.51
0.8× median
E2607Normal range

$292K

1,776 claims · 1.7%

Your Cost: $164.63/claim|Median: $150.23
1.1× median
E1012Top 25%

$284K

368 claims · 1.7%

Your Cost: $771.87/claim|Median: $491.22
1.6× median
E1028Normal range

$265K

11K claims · 1.5%

Your Cost: $23.93/claim|Median: $54.00
0.4× median
K0856Normal range

Power wheelchair, group three, heavy duty, sling seat

$263K

98 claims · 1.5%

Your Cost: $2,684.80/claim|Median: $3,459.32
0.8× median
E0956Normal range

$248K

2,132 claims · 1.4%

Your Cost: $116.14/claim|Median: $106.01
1.1× median
K0040Normal range

$231K

3,569 claims · 1.3%

Your Cost: $64.72/claim|Median: $62.90
1.0× median
E0960Normal range

$144K

2,615 claims · 0.8%

Your Cost: $54.94/claim|Median: $58.78
0.9× median
E0971Top 25%

$132K

3,306 claims · 0.8%

Your Cost: $39.92/claim|Median: $13.46
3.0× median
E1002Normal range

$122K

69 claims · 0.7%

Your Cost: $1,763.02/claim|Median: $1,660.61
1.1× median
E2392Top 5%

$95K

776 claims · 0.6%

Your Cost: $122.04/claim|Median: $53.88
2.3× median
E2609Normal range

$94K

110 claims · 0.5%

Your Cost: $857.33/claim|Median: $840.30
1.0× median
E2300Normal range

$85K

57 claims · 0.5%

Your Cost: $1,492.96/claim|Median: $1,532.13
1.0× median
E2213Normal range

$81K

2,627 claims · 0.5%

Your Cost: $30.71/claim|Median: $32.15
1.0× median
E2377Top 25%

$80K

273 claims · 0.5%

Your Cost: $291.62/claim|Median: $192.61
1.5× median
E0973Normal range

$77K

1,918 claims · 0.4%

Your Cost: $40.27/claim|Median: $42.75
0.9× median
E2298Top 25%

$62K

45 claims · 0.4%

Your Cost: $1,375.36/claim|Median: $1,177.82
1.2× median
E2313Top 25%

$60K

304 claims · 0.4%

Your Cost: $198.47/claim|Median: $143.00
1.4× median
K0019Top 5%

$51K

1,789 claims · 0.3%

Your Cost: $28.33/claim|Median: $11.47
2.5× median
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