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Provider 1366678294

NPI: 1366678294Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,926,192

Total Claims

97K

Beneficiaries

95K

1.0 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$569K
+89%
2019
$1.1M
+43%
2020
$1.5M
-11%
2021
$1.4M
-16%
2022
$1.1M
+43%
2023
$1.6M
-1%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0466 (Home ventilator, any type, used with non-invasive interface)) accounts for 56% of total spending.

E0466Top 25%

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

$5.0M

11K claims · 56.4%

Your Cost: $476.86/claim|Median: $317.50
1.5× median
E1390Top 10%

Oxygen concentrator, single delivery port

$1.4M

14K claims · 15.3%

Your Cost: $94.81/claim|Median: $45.11
2.1× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$637K

12K claims · 7.1%

Your Cost: $55.25/claim|Median: $35.30
1.6× median
E0470Top 10%

$435K

2,871 claims · 4.9%

Your Cost: $151.37/claim|Median: $81.45
1.9× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$268K

15K claims · 3.0%

Your Cost: $18.50/claim|Median: $18.68
1.0× median
K0001Top 10%

Standard wheelchair

$209K

6,087 claims · 2.3%

Your Cost: $34.26/claim|Median: $12.27
2.8× median
E0431Top 25%

Portable gaseous oxygen system, rental

$192K

11K claims · 2.1%

Your Cost: $17.35/claim|Median: $10.37
1.7× median
E0443Top 25%

$145K

4,129 claims · 1.6%

Your Cost: $35.23/claim|Median: $12.89
2.7× median
E0143Top 10%

Walker, folding, wheeled, adjustable or fixed height

$122K

1,891 claims · 1.4%

Your Cost: $64.47/claim|Median: $31.59
2.0× median
E0295Normal range

$89K

1,118 claims · 1.0%

Your Cost: $79.93/claim|Median: $41.43
1.9× median
E0570Normal range

Nebulizer, with compressor

$54K

3,394 claims · 0.6%

Your Cost: $16.02/claim|Median: $16.16
1.0× median
A7030Normal range

Full face mask for CPAP device

$42K

577 claims · 0.5%

Your Cost: $72.21/claim|Median: $56.36
1.3× median
A7035Top 10%

$40K

1,673 claims · 0.4%

Your Cost: $23.86/claim|Median: $13.01
1.8× median
A7037Top 10%

$35K

1,621 claims · 0.4%

Your Cost: $21.57/claim|Median: $10.56
2.0× median
E0730Normal range

$25K

342 claims · 0.3%

Your Cost: $72.74/claim|Median: $52.06
1.4× median
K0003Top 10%

$19K

396 claims · 0.2%

Your Cost: $49.11/claim|Median: $18.14
2.7× median
A7038Top 10%

$19K

2,693 claims · 0.2%

Your Cost: $6.97/claim|Median: $3.53
2.0× median
A7034Top 10%

$17K

251 claims · 0.2%

Your Cost: $69.05/claim|Median: $35.90
1.9× median
E0630Top 25%

$17K

410 claims · 0.2%

Your Cost: $41.52/claim|Median: $23.70
1.8× median
K0195Top 10%

$15K

1,100 claims · 0.2%

Your Cost: $13.32/claim|Median: $4.65
2.9× median
A7039Top 25%

$14K

1,656 claims · 0.2%

Your Cost: $8.56/claim|Median: $4.54
1.9× median
E1392Top 10%

$12K

420 claims · 0.1%

Your Cost: $29.64/claim|Median: $10.81
2.7× median
E0245Normal range

$12K

290 claims · 0.1%

Your Cost: $42.38/claim|Median: $42.10
1.0× median
L0650Top 10%

$11K

13 claims · 0.1%

Your Cost: $808.61/claim|Median: $339.16
2.4× median
E0156Top 10%

$10K

699 claims · 0.1%

Your Cost: $14.47/claim|Median: $7.15
2.0× median
E0305Normal range

$9K

789 claims · 0.1%

Your Cost: $11.82/claim|Median: $8.35
1.4× median
E0271Normal range

$9K

650 claims · 0.1%

Your Cost: $13.42/claim|Median: $14.70
0.9× median
A7031Normal range

$8K

253 claims · 0.1%

Your Cost: $32.48/claim|Median: $25.17
1.3× median
L0648Top 25%

$8K

13 claims · 0.1%

Your Cost: $614.31/claim|Median: $369.72
1.7× median
A7046Top 10%

Water collection device for humidifier, each

$7K

563 claims · 0.1%

Your Cost: $12.92/claim|Median: $6.86
1.9× median
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