Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1336437631

NPI: 1336437631Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.6M

$8,554,949

Total Claims

28K

Beneficiaries

15K

1.9 claims/patient

Avg Cost/Claim

$305

Monthly Spending Trend

Yearly Spending

2018
$793K
-21%
2019
$623K
+2%
2020
$633K
+64%
2021
$1.0M
+55%
2022
$1.6M
+33%
2023
$2.1M
-21%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 78% of total spending.

E1399Top 25%

Durable medical equipment, miscellaneous

$6.7M

7,958 claims · 78.2%

Your Cost: $841.09/claim|Median: $104.06
8.1× median
K0108Normal range

Wheelchair component or accessory, NOS

$916K

5,507 claims · 10.7%

Your Cost: $166.30/claim|Median: $153.75
1.1× median
E1028Top 25%

$351K

3,579 claims · 4.1%

Your Cost: $98.11/claim|Median: $54.00
1.8× median
K0739Normal range

$141K

3,728 claims · 1.7%

Your Cost: $37.88/claim|Median: $34.09
1.1× median
E0955Top 25%

$136K

1,944 claims · 1.6%

Your Cost: $70.20/claim|Median: $43.51
1.6× median
E0960Normal range

$72K

1,212 claims · 0.8%

Your Cost: $59.44/claim|Median: $58.78
1.0× median
E0973Normal range

$53K

917 claims · 0.6%

Your Cost: $57.74/claim|Median: $42.75
1.4× median
E1161Top 10%

$33K

44 claims · 0.4%

Your Cost: $743.42/claim|Median: $200.27
3.7× median
K0040Normal range

$32K

507 claims · 0.4%

Your Cost: $62.17/claim|Median: $62.90
1.0× median
E0956Normal range

$27K

272 claims · 0.3%

Your Cost: $97.48/claim|Median: $106.01
0.9× median
E0971Normal range

$22K

609 claims · 0.3%

Your Cost: $35.47/claim|Median: $13.46
2.6× median
K0005Normal range

$19K

16 claims · 0.2%

Your Cost: $1,181.10/claim|Median: $1,060.57
1.1× median
E0978Normal range

$19K

1,198 claims · 0.2%

Your Cost: $15.71/claim|Median: $14.50
1.1× median
E2607Normal range

$19K

117 claims · 0.2%

Your Cost: $160.77/claim|Median: $150.23
1.1× median
K0823Top 10%

Power wheelchair, Group 2

$7K

18 claims · 0.1%

Your Cost: $372.11/claim|Median: $95.35
3.9× median
E0950Normal range

$6K

135 claims · 0.1%

Your Cost: $46.13/claim|Median: $67.43
0.7× median
E2613Normal range

$4K

17 claims · 0.0%

Your Cost: $210.95/claim|Median: $250.22
0.8× median
E2211Normal range

$3K

72 claims · 0.0%

Your Cost: $36.28/claim|Median: $35.48
1.0× median
E0951Normal range

$3K

173 claims · 0.0%

Your Cost: $14.48/claim|Median: $9.88
1.5× median
E2213Normal range

$946

36 claims · 0.0%

Your Cost: $26.27/claim|Median: $32.15
0.8× median
E0961Top 25%

$412

16 claims · 0.0%

Your Cost: $25.72/claim|Median: $10.99
2.3× median