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Provider 1366704579

NPI: 1366704579Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$11,982,087

Total Claims

126K

Beneficiaries

66K

1.9 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-16%
2019
$1.5M
-16%
2020
$1.3M
+21%
2021
$1.6M
+16%
2022
$1.8M
+20%
2023
$2.1M
-13%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 28% of total spending.

E1399Normal range

Durable medical equipment, miscellaneous

$3.4M

11K claims · 28.1%

Your Cost: $296.01/claim|Median: $104.06
2.8× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$1.8M

3,706 claims · 14.7%

Your Cost: $475.18/claim|Median: $508.29
0.9× median
K0108Normal range

Wheelchair component or accessory, NOS

$1.5M

22K claims · 12.4%

Your Cost: $66.19/claim|Median: $153.75
0.4× median
E1161Normal range

$876K

2,781 claims · 7.3%

Your Cost: $314.83/claim|Median: $200.27
1.6× median
E1028Normal range

$720K

15K claims · 6.0%

Your Cost: $49.32/claim|Median: $54.00
0.9× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$663K

7,557 claims · 5.5%

Your Cost: $87.70/claim|Median: $116.15
0.8× median
K0739Normal range

$420K

13K claims · 3.5%

Your Cost: $32.72/claim|Median: $34.09
1.0× median
K0823Normal range

Power wheelchair, Group 2

$344K

3,286 claims · 2.9%

Your Cost: $104.80/claim|Median: $95.35
1.1× median
E0955Normal range

$275K

5,128 claims · 2.3%

Your Cost: $53.67/claim|Median: $43.51
1.2× median
E0973Normal range

$212K

4,560 claims · 1.8%

Your Cost: $46.50/claim|Median: $42.75
1.1× median
E2617Top 25%

$185K

149 claims · 1.5%

Your Cost: $1,239.45/claim|Median: $939.89
1.3× median
A4352Normal range

Intermittent urinary catheter, Coude tip, each

$177K

834 claims · 1.5%

Your Cost: $212.53/claim|Median: $280.71
0.8× median
K0040Normal range

$155K

2,783 claims · 1.3%

Your Cost: $55.75/claim|Median: $62.90
0.9× median
E2609Top 25%

$148K

137 claims · 1.2%

Your Cost: $1,077.80/claim|Median: $840.30
1.3× median
E0960Normal range

$135K

2,421 claims · 1.1%

Your Cost: $55.84/claim|Median: $58.78
1.0× median
E2607Normal range

$134K

1,064 claims · 1.1%

Your Cost: $125.74/claim|Median: $150.23
0.8× median
K0005Normal range

$110K

136 claims · 0.9%

Your Cost: $811.77/claim|Median: $1,060.57
0.8× median
E0971Normal range

$104K

2,902 claims · 0.9%

Your Cost: $35.68/claim|Median: $13.46
2.7× median
E0956Normal range

$94K

1,635 claims · 0.8%

Your Cost: $57.69/claim|Median: $106.01
0.5× median
E0978Normal range

$53K

3,452 claims · 0.4%

Your Cost: $15.30/claim|Median: $14.50
1.1× median
K0825Normal range

$43K

266 claims · 0.4%

Your Cost: $161.35/claim|Median: $150.86
1.1× median
E2361Normal range

$40K

560 claims · 0.3%

Your Cost: $71.34/claim|Median: $99.84
0.7× median
E0950Normal range

$39K

687 claims · 0.3%

Your Cost: $57.22/claim|Median: $67.43
0.8× median
E2624Normal range

$37K

280 claims · 0.3%

Your Cost: $132.81/claim|Median: $181.24
0.7× median
E0630Top 10%

$34K

509 claims · 0.3%

Your Cost: $67.56/claim|Median: $23.70
2.9× median
T5001Top 1%

$30K

23 claims · 0.3%

Your Cost: $1,315.11/claim|Median: $1,020.98
1.3× median
E2620Normal range

$29K

176 claims · 0.2%

Your Cost: $163.20/claim|Median: $232.23
0.7× median
E2392Normal range

$25K

663 claims · 0.2%

Your Cost: $38.21/claim|Median: $53.88
0.7× median
A4349Normal range

$22K

825 claims · 0.2%

Your Cost: $26.93/claim|Median: $28.92
0.9× median
A4344Normal range

$20K

840 claims · 0.2%

Your Cost: $24.30/claim|Median: $29.31
0.8× median
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