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Provider 1245221092

NPI: 1245221092Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.5M

$7,546,187

Total Claims

792K

Beneficiaries

618K

1.3 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+10%
2019
$1.2M
+14%
2020
$1.3M
+14%
2021
$1.5M
-41%
2022
$892K
+4%
2023
$932K
-33%
2024
$622K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A7030 (Full face mask for CPAP device)) accounts for 18% of total spending.

A7030Normal range

Full face mask for CPAP device

$1.4M

74K claims · 18.5%

Your Cost: $18.88/claim|Median: $56.36
0.3× median
A7031Normal range

$1.3M

84K claims · 16.6%

Your Cost: $14.88/claim|Median: $25.17
0.6× median
A7034Normal range

$744K

61K claims · 9.9%

Your Cost: $12.27/claim|Median: $35.90
0.3× median
A7032Normal range

$714K

43K claims · 9.5%

Your Cost: $16.78/claim|Median: $25.48
0.7× median
A4604Normal range

$697K

78K claims · 9.2%

Your Cost: $8.92/claim|Median: $22.01
0.4× median
A7038Normal range

$440K

149K claims · 5.8%

Your Cost: $2.96/claim|Median: $3.53
0.8× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$381K

31K claims · 5.1%

Your Cost: $12.15/claim|Median: $35.30
0.3× median
A7033Normal range

$369K

25K claims · 4.9%

Your Cost: $14.91/claim|Median: $20.57
0.7× median
A7035Normal range

$363K

71K claims · 4.8%

Your Cost: $5.14/claim|Median: $13.01
0.4× median
A7037Normal range

$189K

52K claims · 2.5%

Your Cost: $3.61/claim|Median: $10.56
0.3× median
A7046Normal range

Water collection device for humidifier, each

$187K

57K claims · 2.5%

Your Cost: $3.27/claim|Median: $6.86
0.5× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$124K

3,463 claims · 1.6%

Your Cost: $35.76/claim|Median: $18.68
1.9× median
E1390Normal range

Oxygen concentrator, single delivery port

$112K

4,981 claims · 1.5%

Your Cost: $22.47/claim|Median: $45.11
0.5× median
E0470Normal range

$81K

4,269 claims · 1.1%

Your Cost: $18.98/claim|Median: $81.45
0.2× median
L4361Normal range

$72K

949 claims · 1.0%

Your Cost: $76.11/claim|Median: $161.24
0.5× median
E0114Normal range

$66K

4,054 claims · 0.9%

Your Cost: $16.19/claim|Median: $29.11
0.6× median
A7039Normal range

$58K

30K claims · 0.8%

Your Cost: $1.90/claim|Median: $4.54
0.4× median
L3809Normal range

$46K

621 claims · 0.6%

Your Cost: $73.75/claim|Median: $115.28
0.6× median
L1830Normal range

$32K

1,286 claims · 0.4%

Your Cost: $24.91/claim|Median: $46.06
0.5× median
L3908Normal range

$31K

1,583 claims · 0.4%

Your Cost: $19.87/claim|Median: $35.79
0.6× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$28K

616 claims · 0.4%

Your Cost: $46.10/claim|Median: $117.24
0.4× median
L4350Normal range

$28K

1,085 claims · 0.4%

Your Cost: $26.15/claim|Median: $52.71
0.5× median
L3670Normal range

$20K

478 claims · 0.3%

Your Cost: $42.73/claim|Median: $60.60
0.7× median
L3660Normal range

$17K

1,699 claims · 0.2%

Your Cost: $10.20/claim|Median: $50.90
0.2× median
E1392Normal range

$15K

2,383 claims · 0.2%

Your Cost: $6.15/claim|Median: $10.81
0.6× median
L3675Normal range

$14K

274 claims · 0.2%

Your Cost: $50.30/claim|Median: $69.38
0.7× median
A7036Normal range

$10K

4,159 claims · 0.1%

Your Cost: $2.31/claim|Median: $7.69
0.3× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$8K

263 claims · 0.1%

Your Cost: $30.88/claim|Median: $31.59
1.0× median
K0738Normal range

$8K

1,128 claims · 0.1%

Your Cost: $6.85/claim|Median: $17.69
0.4× median
L3260Normal range

$7K

634 claims · 0.1%

Your Cost: $11.71/claim|Median: $16.57
0.7× median
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