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Provider 1295153674

NPI: 1295153674Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.5M

$12,517,057

Total Claims

22K

Beneficiaries

9,709

2.2 claims/patient

Avg Cost/Claim

$574

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-4%
2019
$1.7M
+7%
2020
$1.8M
-3%
2021
$1.8M
+38%
2022
$2.4M
-22%
2023
$1.9M
-39%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 49% of total spending.

E1399Top 25%

Durable medical equipment, miscellaneous

$6.2M

7,298 claims · 49.4%

Your Cost: $848.09/claim|Median: $104.06
8.2× median
E1220Normal range

$3.7M

1,707 claims · 29.3%

Your Cost: $2,151.40/claim|Median: $5,744.08
0.4× median
K0108Top 10%

Wheelchair component or accessory, NOS

$2.1M

4,286 claims · 16.7%

Your Cost: $486.71/claim|Median: $153.75
3.2× median
K0005Normal range

$124K

98 claims · 1.0%

Your Cost: $1,264.13/claim|Median: $1,060.57
1.2× median
E0973Normal range

$78K

1,221 claims · 0.6%

Your Cost: $63.95/claim|Median: $42.75
1.5× median
K0004Top 10%

$68K

725 claims · 0.5%

Your Cost: $94.28/claim|Median: $34.32
2.7× median
E1028Normal range

$49K

974 claims · 0.4%

Your Cost: $50.55/claim|Median: $54.00
0.9× median
K0040Normal range

$44K

963 claims · 0.3%

Your Cost: $45.43/claim|Median: $62.90
0.7× median
E0971Normal range

$43K

1,262 claims · 0.3%

Your Cost: $34.10/claim|Median: $13.46
2.5× median
E2607Normal range

$42K

385 claims · 0.3%

Your Cost: $107.90/claim|Median: $150.23
0.7× median
E1161Top 10%

$33K

41 claims · 0.3%

Your Cost: $804.85/claim|Median: $200.27
4.0× median
E0978Normal range

$23K

1,352 claims · 0.2%

Your Cost: $17.14/claim|Median: $14.50
1.2× median
E0260Top 5%

Hospital bed, semi-electric

$12K

85 claims · 0.1%

Your Cost: $135.54/claim|Median: $23.07
5.9× median
E0955Normal range

$11K

371 claims · 0.1%

Your Cost: $30.13/claim|Median: $43.51
0.7× median
E0240Top 25%

$10K

20 claims · 0.1%

Your Cost: $519.28/claim|Median: $62.75
8.3× median
E0630Top 5%

$9K

72 claims · 0.1%

Your Cost: $130.11/claim|Median: $23.70
5.5× median
E2613Normal range

$5K

30 claims · 0.0%

Your Cost: $182.09/claim|Median: $250.22
0.7× median
K0739Normal range

$5K

338 claims · 0.0%

Your Cost: $15.85/claim|Median: $34.09
0.5× median
E0951Normal range

$5K

372 claims · 0.0%

Your Cost: $12.94/claim|Median: $9.88
1.3× median
E0165Top 25%

$2K

63 claims · 0.0%

Your Cost: $37.54/claim|Median: $12.56
3.0× median
E8000Normal range

$2K

42 claims · 0.0%

Your Cost: $45.79/claim|Median: $1,221.20
0.0× median
E0956Normal range

$991

29 claims · 0.0%

Your Cost: $34.19/claim|Median: $106.01
0.3× median
E2601Top 25%

General wheelchair back cushion, width less than twenty-two inches

$829

26 claims · 0.0%

Your Cost: $31.90/claim|Median: $17.73
1.8× median
E0950Normal range

$718

20 claims · 0.0%

Your Cost: $35.90/claim|Median: $67.43
0.5× median
K0038Normal range

$215

15 claims · 0.0%

Your Cost: $14.33/claim|Median: $18.00
0.8× median
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