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Provider 1306140496

NPI: 1306140496Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.8M

$13,839,378

Total Claims

378K

Beneficiaries

349K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+13%
2019
$1.6M
+20%
2020
$2.0M
+19%
2021
$2.3M
+9%
2022
$2.6M
-23%
2023
$2.0M
-3%
2024
$1.9M

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 26% of total spending.

E1390Normal range

Oxygen concentrator, single delivery port

$3.6M

70K claims · 26.0%

Your Cost: $51.12/claim|Median: $45.11
1.1× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$2.3M

49K claims · 16.6%

Your Cost: $46.82/claim|Median: $35.30
1.3× median
E0470Normal range

$1.3M

12K claims · 9.5%

Your Cost: $107.34/claim|Median: $81.45
1.3× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$872K

10K claims · 6.3%

Your Cost: $86.08/claim|Median: $18.68
4.6× median
A7030Normal range

Full face mask for CPAP device

$575K

12K claims · 4.2%

Your Cost: $49.35/claim|Median: $56.36
0.9× median
E0466Top 25%

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

$553K

1,072 claims · 4.0%

Your Cost: $515.55/claim|Median: $317.50
1.6× median
E0431Top 25%

Portable gaseous oxygen system, rental

$499K

26K claims · 3.6%

Your Cost: $19.37/claim|Median: $10.37
1.9× median
A4604Normal range

$493K

22K claims · 3.6%

Your Cost: $22.77/claim|Median: $22.01
1.0× median
A7034Normal range

$413K

14K claims · 3.0%

Your Cost: $30.60/claim|Median: $35.90
0.9× median
E1392Normal range

$364K

29K claims · 2.6%

Your Cost: $12.43/claim|Median: $10.81
1.2× median
E0603Normal range

Breast pump, electric, any type

$359K

2,621 claims · 2.6%

Your Cost: $137.16/claim|Median: $131.70
1.0× median
A7035Normal range

$291K

17K claims · 2.1%

Your Cost: $16.72/claim|Median: $13.01
1.3× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$286K

1,568 claims · 2.1%

Your Cost: $182.40/claim|Median: $210.29
0.9× median
E0260Top 25%

Hospital bed, semi-electric

$269K

6,049 claims · 1.9%

Your Cost: $44.51/claim|Median: $23.07
1.9× median
A7031Normal range

$228K

8,953 claims · 1.6%

Your Cost: $25.42/claim|Median: $25.17
1.0× median
K0001Top 25%

Standard wheelchair

$174K

7,169 claims · 1.3%

Your Cost: $24.24/claim|Median: $12.27
2.0× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$163K

5,306 claims · 1.2%

Your Cost: $30.70/claim|Median: $31.59
1.0× median
E0570Normal range

Nebulizer, with compressor

$144K

8,256 claims · 1.0%

Your Cost: $17.49/claim|Median: $16.16
1.1× median
A7033Normal range

$116K

5,549 claims · 0.8%

Your Cost: $20.94/claim|Median: $20.57
1.0× median
A7032Normal range

$112K

5,056 claims · 0.8%

Your Cost: $22.12/claim|Median: $25.48
0.9× median
K0003Top 25%

$100K

2,134 claims · 0.7%

Your Cost: $47.02/claim|Median: $18.14
2.6× median
K0738Normal range

$93K

4,837 claims · 0.7%

Your Cost: $19.25/claim|Median: $17.69
1.1× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$87K

1,721 claims · 0.6%

Your Cost: $50.31/claim|Median: $73.75
0.7× median
A7038Normal range

$73K

31K claims · 0.5%

Your Cost: $2.34/claim|Median: $3.53
0.7× median
E0245Normal range

$49K

1,664 claims · 0.4%

Your Cost: $29.51/claim|Median: $42.10
0.7× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$46K

492 claims · 0.3%

Your Cost: $92.62/claim|Median: $53.20
1.7× median
E0163Normal range

$36K

1,238 claims · 0.3%

Your Cost: $29.38/claim|Median: $27.98
1.1× median
A7037Normal range

$31K

2,290 claims · 0.2%

Your Cost: $13.51/claim|Median: $10.56
1.3× median
E0630Top 10%

$26K

419 claims · 0.2%

Your Cost: $62.93/claim|Median: $23.70
2.7× median
E0149Normal range

$25K

824 claims · 0.2%

Your Cost: $29.95/claim|Median: $17.18
1.7× median
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