Provider 1235312695
NPI: 1235312695Share
Active Billing Period:2018-01→2021-06(42 months)
Billing appears to have stoppedLast active: 2021-06
Total Paid
$16.2M
$16,193,774
Total Claims
90K
Beneficiaries
80K
1.1 claims/patient
Avg Cost/Claim
$181
Monthly Spending Trend
Yearly Spending
2018
$2.7M
+36%
2019
$3.6M
+106%
2020
$7.5M
-68%
2021
$2.4M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (A9276 (Breath test analyzer, FDA approved, disposable)) accounts for 44% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$7.2M
13K claims
$544.76
$294.58
1.8×
Top 25%
A9276Top 25%
Breath test analyzer, FDA approved, disposable
$7.2M
13K claims · 44.4%
Your Cost: $544.76/claim|Median: $294.58
1.8× median$5.6M
62K claims
$89.56
$53.20
1.7×
Normal range
K0553Normal range
Supply allowance for therapeutic CGM, per month
$5.6M
62K claims · 34.5%
Your Cost: $89.56/claim|Median: $53.20
1.7× median$2.3M
6,016 claims
$383.26
$407.76
0.9×
Normal range
A9277Normal range
Breath alcohol test, per administration
$2.3M
6,016 claims · 14.2%
Your Cost: $383.26/claim|Median: $407.76
0.9× medianA9278Normal range
$829K
2,658 claims · 5.1%
Your Cost: $311.72/claim|Median: $366.50
0.9× medianK0554Normal range
$276K
5,199 claims · 1.7%
Your Cost: $53.03/claim|Median: $77.38
0.7× median