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Provider 1235139528

NPI: 1235139528Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.7M

$8,673,810

Total Claims

17K

Beneficiaries

15K

1.2 claims/patient

Avg Cost/Claim

$507

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-7%
2019
$1.0M
-18%
2020
$827K
+29%
2021
$1.1M
+41%
2022
$1.5M
+20%
2023
$1.8M
-24%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (S1040 (Cranial remolding orthosis, per device)) accounts for 44% of total spending.

S1040Normal range

Cranial remolding orthosis, per device

$3.8M

2,419 claims · 44.2%

Your Cost: $1,584.96/claim|Median: $1,936.44
0.8× median
L2280Top 10%

$1.8M

3,237 claims · 20.5%

Your Cost: $548.60/claim|Median: $292.43
1.9× median
L1970Top 10%

$1.1M

1,538 claims · 12.9%

Your Cost: $728.78/claim|Median: $447.43
1.6× median
L1960Top 25%

$675K

1,098 claims · 7.8%

Your Cost: $614.92/claim|Median: $395.95
1.6× median
L2820Top 25%

$446K

5,152 claims · 5.1%

Your Cost: $86.65/claim|Median: $56.23
1.5× median
L1907Top 25%

$316K

489 claims · 3.6%

Your Cost: $645.46/claim|Median: $399.34
1.6× median
L3010Normal range

Foot insert, removable, longitudinal-metatarsal support, each

$278K

1,661 claims · 3.2%

Your Cost: $167.21/claim|Median: $133.98
1.2× median
L2275Top 5%

$96K

575 claims · 1.1%

Your Cost: $166.87/claim|Median: $81.97
2.0× median
L1940Top 25%

$41K

91 claims · 0.5%

Your Cost: $448.17/claim|Median: $326.72
1.4× median
L2210Top 25%

$38K

328 claims · 0.4%

Your Cost: $114.47/claim|Median: $62.19
1.8× median
L2200Top 10%

$31K

459 claims · 0.4%

Your Cost: $67.71/claim|Median: $37.26
1.8× median
L1930Top 5%

$15K

46 claims · 0.2%

Your Cost: $319.75/claim|Median: $144.40
2.2× median
L1971Top 1%

$8K

13 claims · 0.1%

Your Cost: $620.53/claim|Median: $81.09
7.7× median