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SURGI-CARE INC

Prosthetic/Orthotic Supplier·BILLERICA, MA·NPI: 1306836465Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.9M

$18,854,569

Total Claims

237K

Beneficiaries

230K

1.0 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+22%
2019
$2.2M
-7%
2020
$2.0M
+43%
2021
$2.9M
+13%
2022
$3.3M
+5%
2023
$3.5M
-9%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (L4361) accounts for 37% of total spending.

L4361Top 25%

$7.0M

35K claims · 37.2%

Your Cost: $202.57/claim|Median: $161.24
1.3× median
L1833Top 25%

$1.5M

3,621 claims · 8.0%

Your Cost: $415.96/claim|Median: $278.90
1.5× median
L3908Normal range

$1.5M

34K claims · 7.9%

Your Cost: $43.25/claim|Median: $35.79
1.2× median
L4350Top 25%

$1.5M

23K claims · 7.8%

Your Cost: $64.37/claim|Median: $52.71
1.2× median
L3660Top 25%

$1.5M

20K claims · 7.8%

Your Cost: $73.01/claim|Median: $50.90
1.4× median
L3809Normal range

$1.1M

13K claims · 5.8%

Your Cost: $85.16/claim|Median: $115.28
0.7× median
E0114Normal range

$1.1M

41K claims · 5.6%

Your Cost: $25.62/claim|Median: $29.11
0.9× median
L1820Normal range

$753K

9,254 claims · 4.0%

Your Cost: $81.32/claim|Median: $73.16
1.1× median
L1830Normal range

$602K

13K claims · 3.2%

Your Cost: $47.49/claim|Median: $46.06
1.0× median
L1902Normal range

$391K

7,808 claims · 2.1%

Your Cost: $50.12/claim|Median: $46.30
1.1× median
L1852Top 25%

$366K

815 claims · 1.9%

Your Cost: $449.59/claim|Median: $97.81
4.6× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$335K

8,662 claims · 1.8%

Your Cost: $38.69/claim|Median: $31.59
1.2× median
L3984Normal range

$256K

1,139 claims · 1.4%

Your Cost: $225.00/claim|Median: $198.13
1.1× median
L1812Normal range

$230K

4,251 claims · 1.2%

Your Cost: $54.16/claim|Median: $57.48
0.9× median
L4387Normal range

$166K

1,711 claims · 0.9%

Your Cost: $96.97/claim|Median: $96.24
1.0× median
L2112Normal range

$119K

550 claims · 0.6%

Your Cost: $216.50/claim|Median: $234.68
0.9× median
L3924Normal range

$108K

3,176 claims · 0.6%

Your Cost: $33.89/claim|Median: $41.40
0.8× median
L3670Normal range

$104K

1,912 claims · 0.5%

Your Cost: $54.15/claim|Median: $60.60
0.9× median
L4397Normal range

$95K

1,120 claims · 0.5%

Your Cost: $85.26/claim|Median: $97.67
0.9× median
L3260Normal range

$93K

6,591 claims · 0.5%

Your Cost: $14.09/claim|Median: $16.57
0.9× median
E0100Normal range

$46K

5,144 claims · 0.2%

Your Cost: $8.98/claim|Median: $9.96
0.9× median
E0135Normal range

$23K

863 claims · 0.1%

Your Cost: $26.75/claim|Median: $30.33
0.9× median
L0642Normal range

$20K

94 claims · 0.1%

Your Cost: $207.70/claim|Median: $181.03
1.1× median
E0935Normal range

$10K

99 claims · 0.1%

Your Cost: $99.06/claim|Median: $121.70
0.8× median
L0120Normal range

$9K

817 claims · 0.0%

Your Cost: $11.44/claim|Median: $12.21
0.9× median
L3761Top 25%

$9K

37 claims · 0.0%

Your Cost: $244.98/claim|Median: $56.41
4.3× median
A4467Normal range

$5K

345 claims · 0.0%

Your Cost: $15.37/claim|Median: $20.21
0.8× median
L3923Top 25%

$5K

115 claims · 0.0%

Your Cost: $41.11/claim|Median: $21.47
1.9× median
L1930Normal range

$3K

28 claims · 0.0%

Your Cost: $113.73/claim|Median: $144.40
0.8× median
L2820Normal range

$3K

42 claims · 0.0%

Your Cost: $65.95/claim|Median: $56.23
1.2× median
A4565Normal range

$2K

388 claims · 0.0%

Your Cost: $5.80/claim|Median: $5.77
1.0× median
E0188Top 25%

$2K

80 claims · 0.0%

Your Cost: $19.37/claim|Median: $13.29
1.5× median
L4386Top 25%

$1K

12 claims · 0.0%

Your Cost: $119.48/claim|Median: $96.14
1.2× median
L3995Normal range

$1K

38 claims · 0.0%

Your Cost: $34.34/claim|Median: $24.91
1.4× median
L1821Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $51.43

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