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Provider 1326219478

NPI: 1326219478Share
Active Billing Period:2020-03→2024-12(58 months)

Total Paid

$8.0M

$7,963,831

Total Claims

140K

Beneficiaries

137K

1.0 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2020
$337K
+120%
2021
$740K
+129%
2022
$1.7M
+112%
2023
$3.6M
-56%
2024
$1.6M

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 17% of total spending.

E1390Top 10%

Oxygen concentrator, single delivery port

$1.3M

14K claims · 16.6%

Your Cost: $92.92/claim|Median: $45.11
2.1× median
E0465Top 25%

Home ventilator, any type, used with invasive interface

$464K

538 claims · 5.8%

Your Cost: $862.84/claim|Median: $583.21
1.5× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$449K

8,346 claims · 5.6%

Your Cost: $53.75/claim|Median: $35.30
1.5× median
A7030Top 10%

Full face mask for CPAP device

$369K

3,444 claims · 4.6%

Your Cost: $107.05/claim|Median: $56.36
1.9× median
E0562Top 10%

Humidifier, heated, used with positive airway pressure device

$285K

2,121 claims · 3.6%

Your Cost: $134.24/claim|Median: $18.68
7.2× median
E0470Top 25%

$256K

2,058 claims · 3.2%

Your Cost: $124.61/claim|Median: $81.45
1.5× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$223K

766 claims · 2.8%

Your Cost: $291.12/claim|Median: $210.29
1.4× median
A4604Top 10%

$212K

4,928 claims · 2.7%

Your Cost: $42.92/claim|Median: $22.01
1.9× median
E1399Top 10%

Durable medical equipment, miscellaneous

$184K

100 claims · 2.3%

Your Cost: $1,839.97/claim|Median: $104.06
17.7× median
E0603Normal range

Breast pump, electric, any type

$183K

1,403 claims · 2.3%

Your Cost: $130.35/claim|Median: $131.70
1.0× median
A4351Top 25%

Intermittent urinary catheter, straight tip, each

$182K

896 claims · 2.3%

Your Cost: $203.16/claim|Median: $116.15
1.7× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$172K

1,902 claims · 2.2%

Your Cost: $90.66/claim|Median: $88.94
1.0× median
E0570Normal range

Nebulizer, with compressor

$170K

15K claims · 2.1%

Your Cost: $11.15/claim|Median: $16.16
0.7× median
E0466Top 10%

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

$168K

240 claims · 2.1%

Your Cost: $699.52/claim|Median: $317.50
2.2× median
A7031Top 25%

$159K

3,733 claims · 2.0%

Your Cost: $42.49/claim|Median: $25.17
1.7× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$150K

2,089 claims · 1.9%

Your Cost: $72.00/claim|Median: $110.54
0.7× median
E0431Top 25%

Portable gaseous oxygen system, rental

$144K

7,621 claims · 1.8%

Your Cost: $18.95/claim|Median: $10.37
1.8× median
A7034Top 10%

$139K

2,055 claims · 1.7%

Your Cost: $67.75/claim|Median: $35.90
1.9× median
B4160Normal range

Enteral formula, per 100 calories

$138K

1,210 claims · 1.7%

Your Cost: $114.21/claim|Median: $157.30
0.7× median
T4527Normal range

Adult-sized disposable incontinence product, large

$136K

1,423 claims · 1.7%

Your Cost: $95.60/claim|Median: $99.53
1.0× median
E0600Top 25%

$118K

2,589 claims · 1.5%

Your Cost: $45.64/claim|Median: $25.31
1.8× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$100K

1,085 claims · 1.3%

Your Cost: $92.50/claim|Median: $84.50
1.1× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$82K

347 claims · 1.0%

Your Cost: $235.02/claim|Median: $300.16
0.8× median
E1392Top 10%

$78K

2,691 claims · 1.0%

Your Cost: $28.92/claim|Median: $10.81
2.7× median
E0439Top 25%

$77K

862 claims · 1.0%

Your Cost: $89.00/claim|Median: $56.10
1.6× median
A7035Top 25%

$76K

3,439 claims · 1.0%

Your Cost: $22.14/claim|Median: $13.01
1.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$76K

711 claims · 1.0%

Your Cost: $107.09/claim|Median: $105.14
1.0× median
E0424Normal range

$75K

1,065 claims · 0.9%

Your Cost: $70.58/claim|Median: $81.60
0.9× median
T4530Normal range

$69K

846 claims · 0.9%

Your Cost: $81.93/claim|Median: $83.90
1.0× median
A7032Top 25%

$67K

1,456 claims · 0.8%

Your Cost: $46.33/claim|Median: $25.48
1.8× median
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