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Provider 1336111053

NPI: 1336111053Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$8,974,178

Total Claims

187K

Beneficiaries

175K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$671K
+50%
2019
$1.0M
+10%
2020
$1.1M
+22%
2021
$1.4M
+10%
2022
$1.5M
+15%
2023
$1.7M
-7%
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 22% of total spending.

E1390Top 10%

Oxygen concentrator, single delivery port

$2.0M

20K claims · 22.1%

Your Cost: $97.14/claim|Median: $45.11
2.2× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$851K

15K claims · 9.5%

Your Cost: $55.35/claim|Median: $35.30
1.6× median
A7030Top 10%

Full face mask for CPAP device

$504K

5,179 claims · 5.6%

Your Cost: $97.38/claim|Median: $56.36
1.7× median
E0570Normal range

Nebulizer, with compressor

$368K

11K claims · 4.1%

Your Cost: $33.63/claim|Median: $16.16
2.1× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$340K

1,502 claims · 3.8%

Your Cost: $226.65/claim|Median: $117.24
1.9× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$328K

17K claims · 3.7%

Your Cost: $19.25/claim|Median: $18.68
1.0× median
E0470Top 25%

$248K

2,012 claims · 2.8%

Your Cost: $123.41/claim|Median: $81.45
1.5× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$204K

363 claims · 2.3%

Your Cost: $561.57/claim|Median: $465.86
1.2× median
A4604Top 25%

$187K

5,785 claims · 2.1%

Your Cost: $32.27/claim|Median: $22.01
1.5× median
L4361Normal range

$172K

1,709 claims · 1.9%

Your Cost: $100.45/claim|Median: $161.24
0.6× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$168K

3,299 claims · 1.9%

Your Cost: $50.85/claim|Median: $41.28
1.2× median
E0260Top 25%

Hospital bed, semi-electric

$166K

4,127 claims · 1.9%

Your Cost: $40.33/claim|Median: $23.07
1.7× median
E1392Top 25%

$159K

6,849 claims · 1.8%

Your Cost: $23.17/claim|Median: $10.81
2.1× median
A4670Top 25%

$158K

2,543 claims · 1.8%

Your Cost: $62.18/claim|Median: $50.23
1.2× median
E0143Top 5%

Walker, folding, wheeled, adjustable or fixed height

$153K

2,288 claims · 1.7%

Your Cost: $66.96/claim|Median: $31.59
2.1× median
L3809Normal range

$152K

1,506 claims · 1.7%

Your Cost: $101.04/claim|Median: $115.28
0.9× median
K0001Top 25%

Standard wheelchair

$150K

5,647 claims · 1.7%

Your Cost: $26.62/claim|Median: $12.27
2.2× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$147K

974 claims · 1.6%

Your Cost: $151.19/claim|Median: $105.14
1.4× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$145K

876 claims · 1.6%

Your Cost: $165.29/claim|Median: $92.20
1.8× median
K0738Top 25%

$139K

5,312 claims · 1.6%

Your Cost: $26.20/claim|Median: $17.69
1.5× median
A7035Top 10%

$134K

5,816 claims · 1.5%

Your Cost: $22.99/claim|Median: $13.01
1.8× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$126K

1,032 claims · 1.4%

Your Cost: $122.49/claim|Median: $88.94
1.4× median
T4527Normal range

Adult-sized disposable incontinence product, large

$125K

1,101 claims · 1.4%

Your Cost: $113.36/claim|Median: $99.53
1.1× median
K0823Top 25%

Power wheelchair, Group 2

$119K

545 claims · 1.3%

Your Cost: $217.87/claim|Median: $95.35
2.3× median
A7034Top 25%

$97K

1,749 claims · 1.1%

Your Cost: $55.47/claim|Median: $35.90
1.5× median
B9002Top 25%

$88K

1,022 claims · 1.0%

Your Cost: $86.28/claim|Median: $54.41
1.6× median
E0114Normal range

$84K

2,630 claims · 0.9%

Your Cost: $31.91/claim|Median: $29.11
1.1× median
A6530Normal range

$79K

1,408 claims · 0.9%

Your Cost: $55.88/claim|Median: $49.70
1.1× median
E0431Top 25%

Portable gaseous oxygen system, rental

$77K

4,034 claims · 0.9%

Your Cost: $19.02/claim|Median: $10.37
1.8× median
A7005Top 25%

$73K

3,792 claims · 0.8%

Your Cost: $19.31/claim|Median: $12.44
1.6× median
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