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Provider 1386913937

NPI: 1386913937Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.4M

$11,379,899

Total Claims

52K

Beneficiaries

35K

1.5 claims/patient

Avg Cost/Claim

$217

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+0%
2019
$1.4M
-14%
2020
$1.2M
+29%
2021
$1.6M
+22%
2022
$1.9M
+14%
2023
$2.2M
-24%
2024
$1.7M

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 42% of total spending.

E1399Top 25%

Durable medical equipment, miscellaneous

$4.8M

6,478 claims · 42.5%

Your Cost: $746.31/claim|Median: $104.06
7.2× median
K0108Normal range

Wheelchair component or accessory, NOS

$2.1M

11K claims · 18.5%

Your Cost: $197.19/claim|Median: $153.75
1.3× median
E1028Top 25%

$932K

6,800 claims · 8.2%

Your Cost: $137.03/claim|Median: $54.00
2.5× median
E1161Top 25%

$858K

1,542 claims · 7.5%

Your Cost: $556.33/claim|Median: $200.27
2.8× median
E0956Top 25%

$428K

2,485 claims · 3.8%

Your Cost: $172.26/claim|Median: $106.01
1.6× median
E0973Top 10%

$326K

2,360 claims · 2.9%

Your Cost: $138.12/claim|Median: $42.75
3.2× median
K0005Normal range

$233K

182 claims · 2.0%

Your Cost: $1,279.77/claim|Median: $1,060.57
1.2× median
K0040Top 25%

$193K

2,116 claims · 1.7%

Your Cost: $91.01/claim|Median: $62.90
1.4× median
K0739Normal range

$165K

5,708 claims · 1.4%

Your Cost: $28.84/claim|Median: $34.09
0.8× median
E0960Normal range

$142K

2,097 claims · 1.3%

Your Cost: $67.89/claim|Median: $58.78
1.2× median
E0971Top 10%

$123K

2,285 claims · 1.1%

Your Cost: $53.81/claim|Median: $13.46
4.0× median
E2617Normal range

$121K

179 claims · 1.1%

Your Cost: $675.64/claim|Median: $939.89
0.7× median
E1007Top 5%

$107K

17 claims · 0.9%

Your Cost: $6,291.16/claim|Median: $3,203.03
2.0× median
E0950Normal range

$106K

1,330 claims · 0.9%

Your Cost: $79.34/claim|Median: $67.43
1.2× median
E2211Top 10%

$94K

1,783 claims · 0.8%

Your Cost: $52.50/claim|Median: $35.48
1.5× median
E2311Top 25%

$84K

68 claims · 0.7%

Your Cost: $1,241.96/claim|Median: $879.38
1.4× median
E2607Top 25%

$84K

433 claims · 0.7%

Your Cost: $194.20/claim|Median: $150.23
1.3× median
E0978Top 25%

$78K

2,813 claims · 0.7%

Your Cost: $27.57/claim|Median: $14.50
1.9× median
K0861Top 10%

$63K

15 claims · 0.6%

Your Cost: $4,188.51/claim|Median: $2,607.07
1.6× median
K0823Normal range

Power wheelchair, Group 2

$53K

529 claims · 0.5%

Your Cost: $99.41/claim|Median: $95.35
1.0× median
E0700Top 1%

$46K

77 claims · 0.4%

Your Cost: $592.31/claim|Median: $16.00
37.0× median
E2613Normal range

$34K

134 claims · 0.3%

Your Cost: $253.46/claim|Median: $250.22
1.0× median
E1012Top 5%

$30K

17 claims · 0.3%

Your Cost: $1,748.74/claim|Median: $491.22
3.6× median
E2609Normal range

$26K

45 claims · 0.2%

Your Cost: $587.13/claim|Median: $840.30
0.7× median
E2231Top 25%

$25K

211 claims · 0.2%

Your Cost: $117.17/claim|Median: $91.19
1.3× median
E2377Top 25%

$18K

61 claims · 0.2%

Your Cost: $292.98/claim|Median: $192.61
1.5× median
E2313Top 10%

$16K

70 claims · 0.1%

Your Cost: $232.93/claim|Median: $143.00
1.6× median
E2620Top 25%

$10K

31 claims · 0.1%

Your Cost: $332.06/claim|Median: $232.23
1.4× median
E2622Normal range

$8K

49 claims · 0.1%

Your Cost: $169.88/claim|Median: $161.92
1.0× median
E0961Top 10%

$7K

189 claims · 0.1%

Your Cost: $34.74/claim|Median: $10.99
3.2× median