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Unknown Provider 1346214285

NPI: 1346214285Share

Total Paid

$140K

$140,003

Total Claims

6,372

Beneficiaries

4,961

1.3 claims/patient

Avg Cost/Claim

$22

🔍 Analysis

Provider Overview

is a Medicaid provider based in Unknown location. From 2018-01 through 2018-10, this provider received $140K in Medicaid payments across 6K claims serving 5K beneficiaries, billing 14 distinct procedure codes.

Key Findings

  • 📊Billing stopped in 2018-10, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 43% of total spending.

E1390Normal range

Oxygen concentrator, single delivery port

$60K

1,281 claims · 42.9%

Your Cost: $46.86/claim|Median: $45.11
1.0× median
A7030Normal range

Full face mask for CPAP device

$15K

307 claims · 10.7%

Your Cost: $48.79/claim|Median: $56.36
0.9× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$15K

882 claims · 10.6%

Your Cost: $16.85/claim|Median: $35.30
0.5× median
E0431Normal range

Portable gaseous oxygen system, rental

$11K

1,131 claims · 7.8%

Your Cost: $9.67/claim|Median: $10.37
0.9× median
A7031Normal range

$8K

301 claims · 6.1%

Your Cost: $28.15/claim|Median: $25.17
1.1× median
A7034Normal range

$7K

206 claims · 4.9%

Your Cost: $33.03/claim|Median: $35.90
0.9× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$6K

91 claims · 4.1%

Your Cost: $63.46/claim|Median: $18.68
3.4× median
A4604Normal range

$5K

290 claims · 3.6%

Your Cost: $17.42/claim|Median: $22.01
0.8× median
A7035Normal range

$3K

307 claims · 2.5%

Your Cost: $11.34/claim|Median: $13.01
0.9× median
A7032Normal range

$3K

134 claims · 2.1%

Your Cost: $21.67/claim|Median: $25.48
0.9× median
A7038Normal range

$2K

556 claims · 1.8%

Your Cost: $4.41/claim|Median: $3.53
1.2× median
A7037Normal range

$2K

217 claims · 1.4%

Your Cost: $8.89/claim|Median: $10.56
0.8× median
E0570Normal range

Nebulizer, with compressor

$1K

487 claims · 1.0%

Your Cost: $2.80/claim|Median: $16.16
0.2× median
A7046Normal range

Water collection device for humidifier, each

$962

182 claims · 0.7%

Your Cost: $5.28/claim|Median: $6.86
0.8× median
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