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Provider 1417097593

NPI: 1417097593Share
Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$13.7M

$13,694,491

Total Claims

133K

Beneficiaries

131K

1.0 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2019
$1.3M
-23%
2020
$989K
-6%
2021
$927K
+171%
2022
$2.5M
+80%
2023
$4.5M
-24%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J2357 (Injection, omalizumab, 5 mg)) accounts for 22% of total spending.

J2357Top 10%

Injection, omalizumab, 5 mg

$3.0M

1,341 claims · 22.1%

Your Cost: $2,257.10/claim|Median: $920.37
2.5× median
E0601Top 5%

Continuous positive airway pressure (CPAP) device

$1.6M

18K claims · 11.8%

Your Cost: $91.57/claim|Median: $35.30
2.6× median
G0399Top 5%

$1.5M

4,760 claims · 11.3%

Your Cost: $324.39/claim|Median: $76.81
4.2× median
A7030Top 5%

Full face mask for CPAP device

$1.3M

10K claims · 9.6%

Your Cost: $127.94/claim|Median: $56.36
2.3× median
J2315Normal range

$860K

789 claims · 6.3%

Your Cost: $1,089.49/claim|Median: $1,045.36
1.0× median
E0562Top 5%

Humidifier, heated, used with positive airway pressure device

$809K

4,120 claims · 5.9%

Your Cost: $196.44/claim|Median: $18.68
10.5× median
A4604Top 5%

$783K

17K claims · 5.7%

Your Cost: $47.26/claim|Median: $22.01
2.1× median
A7034Top 5%

$705K

8,935 claims · 5.2%

Your Cost: $78.95/claim|Median: $35.90
2.2× median
A7031Top 5%

$484K

7,743 claims · 3.5%

Your Cost: $62.52/claim|Median: $25.17
2.5× median
S9338Top 5%

$409K

1,523 claims · 3.0%

Your Cost: $268.68/claim|Median: $60.83
4.4× median
A7035Top 5%

$320K

12K claims · 2.3%

Your Cost: $25.56/claim|Median: $13.01
2.0× median
A7032Top 5%

$316K

4,571 claims · 2.3%

Your Cost: $69.17/claim|Median: $25.48
2.7× median
J1950Top 25%

Injection, leuprolide acetate, per three point seven five milligrams

$241K

82 claims · 1.8%

Your Cost: $2,943.87/claim|Median: $1,442.37
2.0× median
S9500Top 1%

$240K

194 claims · 1.8%

Your Cost: $1,238.97/claim|Median: $144.40
8.6× median
A7038Top 10%

$172K

21K claims · 1.3%

Your Cost: $8.24/claim|Median: $3.53
2.3× median
E0470Top 5%

$163K

800 claims · 1.2%

Your Cost: $203.45/claim|Median: $81.45
2.5× median
A7033Top 5%

$143K

2,859 claims · 1.0%

Your Cost: $50.06/claim|Median: $20.57
2.4× median
A7046Top 5%

Water collection device for humidifier, each

$136K

9,620 claims · 1.0%

Your Cost: $14.17/claim|Median: $6.86
2.1× median
S9542Top 25%

$106K

757 claims · 0.8%

Your Cost: $139.53/claim|Median: $43.71
3.2× median
A7037Top 5%

$64K

2,453 claims · 0.5%

Your Cost: $26.19/claim|Median: $10.56
2.5× median
99602Top 25%

$57K

394 claims · 0.4%

Your Cost: $144.86/claim|Median: $84.91
1.7× median
S9363Normal range

$42K

61 claims · 0.3%

Your Cost: $691.85/claim|Median: $719.76
1.0× median
S9502Top 1%

$39K

26 claims · 0.3%

Your Cost: $1,491.40/claim|Median: $165.71
9.0× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$36K

34 claims · 0.3%

Your Cost: $1,049.35/claim|Median: $470.36
2.2× median
A7039Top 10%

$30K

3,063 claims · 0.2%

Your Cost: $9.80/claim|Median: $4.54
2.2× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$16K

12 claims · 0.1%

Your Cost: $1,306.52/claim|Median: $233.73
5.6× median
99601Normal range

$10K

535 claims · 0.1%

Your Cost: $18.98/claim|Median: $82.41
0.2× median
A7036Top 5%

$7K

523 claims · 0.0%

Your Cost: $12.49/claim|Median: $7.69
1.6× median
G0157Normal range

Services of PT assistant in home health, per 15 min

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.94
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.50
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