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Provider 1386925568

NPI: 1386925568Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,568,406

Total Claims

213K

Beneficiaries

206K

1.0 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-2%
2019
$1.2M
+31%
2020
$1.6M
+13%
2021
$1.8M
+1%
2022
$1.8M
+9%
2023
$2.0M
-7%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 48% of total spending.

E1390Top 25%

Oxygen concentrator, single delivery port

$5.6M

62K claims · 48.2%

Your Cost: $89.29/claim|Median: $45.11
2.0× median
E0431Top 25%

Portable gaseous oxygen system, rental

$744K

46K claims · 6.4%

Your Cost: $16.03/claim|Median: $10.37
1.5× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$476K

8,779 claims · 4.1%

Your Cost: $54.20/claim|Median: $35.30
1.5× median
A7030Top 25%

Full face mask for CPAP device

$422K

4,510 claims · 3.6%

Your Cost: $93.50/claim|Median: $56.36
1.7× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$415K

2,342 claims · 3.6%

Your Cost: $177.23/claim|Median: $117.24
1.5× median
E0424Normal range

$397K

3,586 claims · 3.4%

Your Cost: $110.75/claim|Median: $81.60
1.4× median
E0603Normal range

Breast pump, electric, any type

$266K

2,112 claims · 2.3%

Your Cost: $125.80/claim|Median: $131.70
1.0× median
T4541Top 5%

Pediatric-sized disposable incontinence product, large

$251K

2,409 claims · 2.2%

Your Cost: $104.36/claim|Median: $41.28
2.5× median
E0470Normal range

$238K

2,196 claims · 2.1%

Your Cost: $108.58/claim|Median: $81.45
1.3× median
A7031Top 5%

$226K

4,222 claims · 2.0%

Your Cost: $53.44/claim|Median: $25.17
2.1× median
T4522Top 25%

Adult-sized disposable incontinence product, brief/diaper, above XL

$171K

1,642 claims · 1.5%

Your Cost: $104.02/claim|Median: $84.50
1.2× median
T4527Top 25%

Adult-sized disposable incontinence product, large

$154K

1,115 claims · 1.3%

Your Cost: $137.91/claim|Median: $99.53
1.4× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$144K

2,704 claims · 1.2%

Your Cost: $53.24/claim|Median: $18.68
2.9× median
T4523Top 25%

Adult-sized disposable incontinence product, brief/diaper, small

$129K

943 claims · 1.1%

Your Cost: $136.27/claim|Median: $96.13
1.4× median
E0570Normal range

Nebulizer, with compressor

$128K

5,345 claims · 1.1%

Your Cost: $23.89/claim|Median: $16.16
1.5× median
E1392Top 10%

$127K

4,515 claims · 1.1%

Your Cost: $28.05/claim|Median: $10.81
2.6× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$124K

1,045 claims · 1.1%

Your Cost: $118.79/claim|Median: $88.94
1.3× median
A4604Top 25%

$115K

3,118 claims · 1.0%

Your Cost: $36.89/claim|Median: $22.01
1.7× median
K0001Normal range

Standard wheelchair

$106K

5,399 claims · 0.9%

Your Cost: $19.64/claim|Median: $12.27
1.6× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$102K

732 claims · 0.9%

Your Cost: $139.96/claim|Median: $55.51
2.5× median
E0445Normal range

$100K

717 claims · 0.9%

Your Cost: $139.24/claim|Median: $118.11
1.2× median
A7034Top 25%

$96K

1,592 claims · 0.8%

Your Cost: $60.02/claim|Median: $35.90
1.7× median
K0003Top 25%

$82K

2,415 claims · 0.7%

Your Cost: $33.79/claim|Median: $18.14
1.9× median
B4160Top 5%

Enteral formula, per 100 calories

$73K

185 claims · 0.6%

Your Cost: $393.33/claim|Median: $157.30
2.5× median
A7035Top 25%

$72K

3,944 claims · 0.6%

Your Cost: $18.19/claim|Median: $13.01
1.4× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$71K

281 claims · 0.6%

Your Cost: $251.48/claim|Median: $210.29
1.2× median
A7038Top 10%

$71K

8,341 claims · 0.6%

Your Cost: $8.46/claim|Median: $3.53
2.4× median
E0260Top 25%

Hospital bed, semi-electric

$69K

1,931 claims · 0.6%

Your Cost: $35.99/claim|Median: $23.07
1.6× median
A4351Top 25%

Intermittent urinary catheter, straight tip, each

$52K

320 claims · 0.4%

Your Cost: $161.50/claim|Median: $116.15
1.4× median
A7037Top 25%

$49K

2,819 claims · 0.4%

Your Cost: $17.47/claim|Median: $10.56
1.7× median
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