Total Paid
$70K
$70,204
Total Claims
3,566
Beneficiaries
2,169
1.6 claims/patient
Avg Cost/Claim
$20
🔍 Analysis
Provider Overview
is a Medicaid provider based in Unknown location. From the 2018–2024 period, this provider received $70K in Medicaid payments across 4K claims serving 2K beneficiaries.
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 9 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 82% of total spending.
$57K
1,760 claims
$32.60
$45.11
Oxygen concentrator, single delivery port
$57K
1,760 claims · 81.7%
$5K
208 claims
$24.03
$35.30
Continuous positive airway pressure (CPAP) device
$5K
208 claims · 7.1%
$5K
827 claims
$5.52
$10.37
Portable gaseous oxygen system, rental
$5K
827 claims · 6.5%
$741
130 claims · 1.1%
$720
66 claims · 1.0%
$698
282 claims · 1.0%
Nebulizer, with compressor
$624
191 claims · 0.9%
$450
43 claims · 0.6%
$33
59 claims
$0.55
$1.48
Administration set for nebulizer, with small volume
$33
59 claims · 0.0%