Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1275523581

NPI: 1275523581Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,123,821

Total Claims

490K

Beneficiaries

433K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$340K
+123%
2019
$760K
+176%
2020
$2.1M
+26%
2021
$2.6M
-2%
2022
$2.6M
-1%
2023
$2.6M
-15%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 13% of total spending.

E1390Normal range

Oxygen concentrator, single delivery port

$1.8M

49K claims · 13.4%

Your Cost: $35.79/claim|Median: $45.11
0.8× median
L4361Top 25%

$815K

3,897 claims · 6.2%

Your Cost: $209.08/claim|Median: $161.24
1.3× median
A7030Normal range

Full face mask for CPAP device

$776K

15K claims · 5.9%

Your Cost: $52.68/claim|Median: $56.36
0.9× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$590K

28K claims · 4.5%

Your Cost: $21.27/claim|Median: $35.30
0.6× median
A4604Normal range

$578K

24K claims · 4.4%

Your Cost: $24.46/claim|Median: $22.01
1.1× median
E0114Top 25%

$474K

13K claims · 3.6%

Your Cost: $36.53/claim|Median: $29.11
1.3× median
E0260Normal range

Hospital bed, semi-electric

$471K

26K claims · 3.6%

Your Cost: $18.26/claim|Median: $23.07
0.8× median
E0466Normal range

Home ventilator, any type, used with non-invasive interface

$403K

1,450 claims · 3.1%

Your Cost: $278.06/claim|Median: $317.50
0.9× median
A7031Normal range

$392K

17K claims · 3.0%

Your Cost: $22.50/claim|Median: $25.17
0.9× median
L3809Top 25%

$355K

2,410 claims · 2.7%

Your Cost: $147.23/claim|Median: $115.28
1.3× median
L3660Top 25%

$351K

5,332 claims · 2.7%

Your Cost: $65.83/claim|Median: $50.90
1.3× median
A7034Normal range

$348K

10K claims · 2.7%

Your Cost: $33.54/claim|Median: $35.90
0.9× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$304K

9,708 claims · 2.3%

Your Cost: $31.34/claim|Median: $18.68
1.7× median
L4350Top 10%

$247K

3,466 claims · 1.9%

Your Cost: $71.32/claim|Median: $52.71
1.4× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$242K

2,611 claims · 1.8%

Your Cost: $92.69/claim|Median: $117.24
0.8× median
K0001Normal range

Standard wheelchair

$241K

24K claims · 1.8%

Your Cost: $10.07/claim|Median: $12.27
0.8× median
E0603Normal range

Breast pump, electric, any type

$235K

1,870 claims · 1.8%

Your Cost: $125.92/claim|Median: $131.70
1.0× median
A7035Normal range

$213K

17K claims · 1.6%

Your Cost: $12.48/claim|Median: $13.01
1.0× median
L3908Normal range

$207K

4,666 claims · 1.6%

Your Cost: $44.28/claim|Median: $35.79
1.2× median
E0431Normal range

Portable gaseous oxygen system, rental

$203K

23K claims · 1.5%

Your Cost: $8.72/claim|Median: $10.37
0.8× median
E0470Normal range

$195K

4,467 claims · 1.5%

Your Cost: $43.70/claim|Median: $81.45
0.5× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$176K

506 claims · 1.3%

Your Cost: $348.08/claim|Median: $583.21
0.6× median
E0570Normal range

Nebulizer, with compressor

$176K

9,989 claims · 1.3%

Your Cost: $17.59/claim|Median: $16.16
1.1× median
K0738Normal range

$163K

10K claims · 1.2%

Your Cost: $15.83/claim|Median: $17.69
0.9× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$155K

7,027 claims · 1.2%

Your Cost: $22.12/claim|Median: $31.59
0.7× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$152K

467 claims · 1.2%

Your Cost: $325.80/claim|Median: $465.86
0.7× median
A7032Normal range

$142K

8,081 claims · 1.1%

Your Cost: $17.57/claim|Median: $25.48
0.7× median
L1830Normal range

$141K

2,843 claims · 1.1%

Your Cost: $49.77/claim|Median: $46.06
1.1× median
E0630Normal range

$124K

7,254 claims · 0.9%

Your Cost: $17.13/claim|Median: $23.70
0.7× median
K0003Normal range

$110K

7,770 claims · 0.8%

Your Cost: $14.18/claim|Median: $18.14
0.8× median
← All providersHow we detect fraud →