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Unknown Provider 1306961792

NPI: 1306961792Share
Active Billing Period:2018-01→2024-08(80 months)

Total Paid

$36.1M

$36,082,565

Total Claims

582K

Beneficiaries

439K

1.3 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$5.9M
+23%
2019
$7.3M
+13%
2020
$8.2M
+0%
2021
$8.2M
-44%
2022
$4.6M
-60%
2023
$1.8M
-100%
2024
$525

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 23% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$8.4M

21K claims · 23.3%

Your Cost: $397.88/claim|Median: $465.86
0.9× median
B4160Normal range

Enteral formula, per 100 calories

$5.6M

34K claims · 15.6%

Your Cost: $164.19/claim|Median: $157.30
1.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$3.1M

27K claims · 8.7%

Your Cost: $115.25/claim|Median: $117.24
1.0× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$2.6M

53K claims · 7.2%

Your Cost: $49.56/claim|Median: $55.51
0.9× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$1.4M

6,678 claims · 3.9%

Your Cost: $213.31/claim|Median: $300.16
0.7× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$1.2M

2,721 claims · 3.3%

Your Cost: $433.04/claim|Median: $583.21
0.7× median
E0570Top 25%

Nebulizer, with compressor

$787K

12K claims · 2.2%

Your Cost: $63.70/claim|Median: $16.16
3.9× median
S8189Normal range

$781K

7,456 claims · 2.2%

Your Cost: $104.76/claim|Median: $81.07
1.3× median
B4158Normal range

$751K

4,910 claims · 2.1%

Your Cost: $152.93/claim|Median: $145.71
1.0× median
E1390Normal range

Oxygen concentrator, single delivery port

$721K

16K claims · 2.0%

Your Cost: $44.28/claim|Median: $45.11
1.0× median
A4606Normal range

$638K

8,610 claims · 1.8%

Your Cost: $74.12/claim|Median: $50.63
1.5× median
E0445Normal range

$497K

6,222 claims · 1.4%

Your Cost: $79.91/claim|Median: $118.11
0.7× median
B9002Normal range

$488K

12K claims · 1.4%

Your Cost: $40.21/claim|Median: $54.41
0.7× median
B4102Top 10%

$487K

2,286 claims · 1.3%

Your Cost: $213.08/claim|Median: $65.22
3.3× median
A4217Top 25%

Sterile water or saline for nebulizer, per unit

$425K

7,190 claims · 1.2%

Your Cost: $59.12/claim|Median: $13.14
4.5× median
A4624Normal range

$408K

3,557 claims · 1.1%

Your Cost: $114.78/claim|Median: $107.53
1.1× median
A6197Normal range

$385K

6,313 claims · 1.1%

Your Cost: $61.00/claim|Median: $156.22
0.4× median
E1399Normal range

Durable medical equipment, miscellaneous

$380K

30K claims · 1.1%

Your Cost: $12.72/claim|Median: $104.06
0.1× median
A7526Top 25%

$320K

5,106 claims · 0.9%

Your Cost: $62.59/claim|Median: $33.61
1.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$306K

3,180 claims · 0.8%

Your Cost: $96.09/claim|Median: $89.79
1.1× median
A4483Normal range

$286K

2,442 claims · 0.8%

Your Cost: $117.13/claim|Median: $91.41
1.3× median
A4605Top 25%

$283K

1,252 claims · 0.8%

Your Cost: $225.65/claim|Median: $121.51
1.9× median
A4452Normal range

$275K

18K claims · 0.8%

Your Cost: $14.92/claim|Median: $9.98
1.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$270K

2,608 claims · 0.7%

Your Cost: $103.46/claim|Median: $92.20
1.1× median
E0619Normal range

$269K

2,249 claims · 0.7%

Your Cost: $119.46/claim|Median: $163.70
0.7× median
A7507Top 25%

$259K

2,389 claims · 0.7%

Your Cost: $108.61/claim|Median: $59.66
1.8× median
A7520Top 25%

$241K

2,713 claims · 0.7%

Your Cost: $88.82/claim|Median: $49.59
1.8× median
B4103Normal range

$236K

2,348 claims · 0.7%

Your Cost: $100.31/claim|Median: $82.54
1.2× median
E0482Normal range

$227K

1,115 claims · 0.6%

Your Cost: $203.24/claim|Median: $246.17
0.8× median
B4153Normal range

$214K

680 claims · 0.6%

Your Cost: $315.42/claim|Median: $410.73
0.8× median
A6402Normal range

$202K

19K claims · 0.6%

Your Cost: $10.42/claim|Median: $7.69
1.4× median
E0431Normal range

Portable gaseous oxygen system, rental

$163K

16K claims · 0.5%

Your Cost: $10.31/claim|Median: $10.37
1.0× median
A6209Normal range

$158K

4,718 claims · 0.4%

Your Cost: $33.59/claim|Median: $55.36
0.6× median
E0603Normal range

Breast pump, electric, any type

$154K

1,223 claims · 0.4%

Your Cost: $126.25/claim|Median: $131.70
1.0× median
B4155Normal range

$133K

4,034 claims · 0.4%

Your Cost: $33.02/claim|Median: $46.72
0.7× median
E0443Top 25%

$131K

4,147 claims · 0.4%

Your Cost: $31.47/claim|Median: $12.89
2.4× median
A6260Top 25%

$125K

5,353 claims · 0.3%

Your Cost: $23.40/claim|Median: $10.03
2.3× median
B4100Normal range

$113K

2,299 claims · 0.3%

Your Cost: $48.96/claim|Median: $67.58
0.7× median
A7000Normal range

$108K

8,323 claims · 0.3%

Your Cost: $13.01/claim|Median: $11.83
1.1× median
E0600Normal range

$108K

4,574 claims · 0.3%

Your Cost: $23.53/claim|Median: $25.31
0.9× median
A4927Normal range

Gloves, non-sterile, per 100

$107K

8,800 claims · 0.3%

Your Cost: $12.16/claim|Median: $12.90
0.9× median
A7005Normal range

$105K

10K claims · 0.3%

Your Cost: $10.29/claim|Median: $12.44
0.8× median
E0202Normal range

$104K

1,145 claims · 0.3%

Your Cost: $90.94/claim|Median: $71.55
1.3× median
E1150Normal range

$103K

2,056 claims · 0.3%

Your Cost: $49.87/claim|Median: $43.37
1.1× median
B4082Normal range

$102K

2,769 claims · 0.3%

Your Cost: $36.88/claim|Median: $28.33
1.3× median
B4154Normal range

$97K

565 claims · 0.3%

Your Cost: $172.36/claim|Median: $132.96
1.3× median
A4625Top 25%

$97K

990 claims · 0.3%

Your Cost: $98.02/claim|Median: $51.02
1.9× median
A7002Top 25%

$96K

8,515 claims · 0.3%

Your Cost: $11.30/claim|Median: $4.97
2.3× median
B4088Normal range

$92K

4,929 claims · 0.3%

Your Cost: $18.63/claim|Median: $73.20
0.3× median
B4034Normal range

$90K

2,291 claims · 0.2%

Your Cost: $39.12/claim|Median: $46.28
0.8× median
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