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Provider 1275784001

NPI: 1275784001Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.7M

$8,735,928

Total Claims

88K

Beneficiaries

81K

1.1 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$605K
+69%
2019
$1.0M
-2%
2020
$1.0M
+31%
2021
$1.3M
+23%
2022
$1.6M
+5%
2023
$1.7M
-13%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (E0603 (Breast pump, electric, any type)) accounts for 42% of total spending.

E0603Top 25%

Breast pump, electric, any type

$3.7M

20K claims · 42.1%

Your Cost: $187.06/claim|Median: $131.70
1.4× median
L4361Normal range

$1.2M

6,420 claims · 14.0%

Your Cost: $190.27/claim|Median: $161.24
1.2× median
L3670Normal range

$760K

12K claims · 8.7%

Your Cost: $60.86/claim|Median: $60.60
1.0× median
L3809Normal range

$492K

3,943 claims · 5.6%

Your Cost: $124.70/claim|Median: $115.28
1.1× median
E0114Normal range

$388K

11K claims · 4.4%

Your Cost: $34.21/claim|Median: $29.11
1.2× median
L3908Normal range

$344K

7,829 claims · 3.9%

Your Cost: $43.95/claim|Median: $35.79
1.2× median
L1820Normal range

$330K

4,266 claims · 3.8%

Your Cost: $77.36/claim|Median: $73.16
1.1× median
L4360Top 25%

$291K

1,498 claims · 3.3%

Your Cost: $194.46/claim|Median: $149.34
1.3× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$193K

3,518 claims · 2.2%

Your Cost: $54.87/claim|Median: $31.59
1.7× median
L1830Top 25%

$177K

3,056 claims · 2.0%

Your Cost: $57.95/claim|Median: $46.06
1.3× median
L4350Normal range

$162K

2,798 claims · 1.9%

Your Cost: $57.98/claim|Median: $52.71
1.1× median
L1902Normal range

$157K

2,898 claims · 1.8%

Your Cost: $54.32/claim|Median: $46.30
1.2× median
L3260Normal range

$137K

4,544 claims · 1.6%

Your Cost: $30.21/claim|Median: $16.57
1.8× median
L3807Normal range

$134K

1,029 claims · 1.5%

Your Cost: $130.27/claim|Median: $120.29
1.1× median
L0621Top 25%

$82K

1,114 claims · 0.9%

Your Cost: $73.56/claim|Median: $56.03
1.3× median
L1833Normal range

$56K

189 claims · 0.6%

Your Cost: $295.82/claim|Median: $278.90
1.1× median
L0172Normal range

$51K

856 claims · 0.6%

Your Cost: $60.11/claim|Median: $59.19
1.0× median
L1832Normal range

$32K

85 claims · 0.4%

Your Cost: $375.07/claim|Median: $303.44
1.2× median
L3924Normal range

$19K

395 claims · 0.2%

Your Cost: $48.66/claim|Median: $41.40
1.2× median
L1851Top 5%

$9K

14 claims · 0.1%

Your Cost: $630.13/claim|Median: $40.53
15.5× median
L0174Normal range

$9K

74 claims · 0.1%

Your Cost: $117.46/claim|Median: $119.20
1.0× median
L4387Normal range

$8K

107 claims · 0.1%

Your Cost: $71.24/claim|Median: $96.24
0.7× median
L3960Top 25%

$5K

15 claims · 0.1%

Your Cost: $310.91/claim|Median: $31.90
9.7× median
A4467Normal range

$56

12 claims · 0.0%

Your Cost: $4.67/claim|Median: $20.21
0.2× median