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Provider 1326431404

NPI: 1326431404Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.4M

$14,365,443

Total Claims

17K

Beneficiaries

5,307

3.3 claims/patient

Avg Cost/Claim

$824

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-14%
2019
$1.9M
-21%
2020
$1.5M
+33%
2021
$2.0M
+13%
2022
$2.2M
+2%
2023
$2.3M
-1%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 88% of total spending.

E1399Top 25%

Durable medical equipment, miscellaneous

$12.7M

10K claims · 88.1%

Your Cost: $1,224.49/claim|Median: $104.06
11.8× median
K0108Top 25%

Wheelchair component or accessory, NOS

$878K

3,786 claims · 6.1%

Your Cost: $231.86/claim|Median: $153.75
1.5× median
E0641Normal range

$228K

41 claims · 1.6%

Your Cost: $5,567.16/claim|Median: $5,567.16
1.0× median
E1236Top 25%

$129K

103 claims · 0.9%

Your Cost: $1,256.05/claim|Median: $389.45
3.2× median
E2609Top 25%

$92K

75 claims · 0.6%

Your Cost: $1,230.93/claim|Median: $840.30
1.5× median
E1028Top 25%

$79K

604 claims · 0.6%

Your Cost: $131.11/claim|Median: $54.00
2.4× median
E2617Top 25%

$73K

55 claims · 0.5%

Your Cost: $1,321.08/claim|Median: $939.89
1.4× median
T5001Normal range

$62K

73 claims · 0.4%

Your Cost: $848.25/claim|Median: $1,020.98
0.8× median
E0955Top 5%

$47K

313 claims · 0.3%

Your Cost: $149.51/claim|Median: $43.51
3.4× median
E0960Normal range

$28K

446 claims · 0.2%

Your Cost: $61.94/claim|Median: $58.78
1.1× median
E8000Top 25%

$25K

13 claims · 0.2%

Your Cost: $1,948.78/claim|Median: $1,221.20
1.6× median
K0040Normal range

$20K

323 claims · 0.1%

Your Cost: $62.07/claim|Median: $62.90
1.0× median
E0956Normal range

$17K

247 claims · 0.1%

Your Cost: $69.27/claim|Median: $106.01
0.7× median
E0978Top 25%

$9K

393 claims · 0.1%

Your Cost: $22.23/claim|Median: $14.50
1.5× median
E0950Normal range

$7K

105 claims · 0.1%

Your Cost: $71.06/claim|Median: $67.43
1.1× median
K0739Normal range

$7K

215 claims · 0.1%

Your Cost: $33.65/claim|Median: $34.09
1.0× median
E0240Top 25%

$6K

16 claims · 0.0%

Your Cost: $354.00/claim|Median: $62.75
5.6× median
T5999Normal range

Transportation service, not otherwise classified

$3K

204 claims · 0.0%

Your Cost: $13.74/claim|Median: $8.13
1.7× median
E0971Normal range

$953

29 claims · 0.0%

Your Cost: $32.87/claim|Median: $13.46
2.4× median
E0951Top 25%

$639

39 claims · 0.0%

Your Cost: $16.39/claim|Median: $9.88
1.7× median
E0952Top 1%

$421

13 claims · 0.0%

Your Cost: $32.40/claim|Median: $18.46
1.8× median
A4554Normal range

Disposable underpads, all sizes

$397

12 claims · 0.0%

Your Cost: $33.11/claim|Median: $37.02
0.9× median
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