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Provider 1457348807

NPI: 1457348807Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.5M

$17,462,198

Total Claims

366K

Beneficiaries

315K

1.2 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$83K
+3100%
2019
$2.6M
+35%
2020
$3.6M
+9%
2021
$3.9M
-14%
2022
$3.4M
-30%
2023
$2.4M
-33%
2024
$1.6M

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 17% of total spending.

E1390Top 25%

Oxygen concentrator, single delivery port

$3.0M

44K claims · 17.4%

Your Cost: $69.52/claim|Median: $45.11
1.5× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$2.1M

2,624 claims · 11.8%

Your Cost: $783.61/claim|Median: $465.86
1.7× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$961K

19K claims · 5.5%

Your Cost: $50.97/claim|Median: $35.30
1.4× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$840K

10K claims · 4.8%

Your Cost: $83.39/claim|Median: $117.24
0.7× median
E0570Top 25%

Nebulizer, with compressor

$837K

16K claims · 4.8%

Your Cost: $52.15/claim|Median: $16.16
3.2× median
E0466Normal range

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

$779K

2,482 claims · 4.5%

Your Cost: $313.67/claim|Median: $317.50
1.0× median
B4160Normal range

Enteral formula, per 100 calories

$767K

4,793 claims · 4.4%

Your Cost: $159.96/claim|Median: $157.30
1.0× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$702K

1,635 claims · 4.0%

Your Cost: $429.12/claim|Median: $583.21
0.7× median
B9002Normal range

$600K

9,809 claims · 3.4%

Your Cost: $61.13/claim|Median: $54.41
1.1× median
E0470Normal range

$465K

4,112 claims · 2.7%

Your Cost: $112.98/claim|Median: $81.45
1.4× median
E0445Normal range

$389K

5,697 claims · 2.2%

Your Cost: $68.32/claim|Median: $118.11
0.6× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$372K

2,246 claims · 2.1%

Your Cost: $165.46/claim|Median: $92.20
1.8× median
E1399Normal range

Durable medical equipment, miscellaneous

$361K

811 claims · 2.1%

Your Cost: $444.67/claim|Median: $104.06
4.3× median
E0431Normal range

Portable gaseous oxygen system, rental

$333K

37K claims · 1.9%

Your Cost: $8.97/claim|Median: $10.37
0.9× median
E0424Top 25%

$309K

2,452 claims · 1.8%

Your Cost: $125.96/claim|Median: $81.60
1.5× median
K0001Normal range

Standard wheelchair

$302K

18K claims · 1.7%

Your Cost: $17.18/claim|Median: $12.27
1.4× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$268K

1,528 claims · 1.5%

Your Cost: $175.59/claim|Median: $89.79
2.0× median
A4209Top 1%

$253K

2,334 claims · 1.4%

Your Cost: $108.28/claim|Median: $1.41
76.8× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$232K

1,114 claims · 1.3%

Your Cost: $208.16/claim|Median: $300.16
0.7× median
A4624Normal range

$216K

2,079 claims · 1.2%

Your Cost: $103.93/claim|Median: $107.53
1.0× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$191K

5,395 claims · 1.1%

Your Cost: $35.33/claim|Median: $31.59
1.1× median
A4213Top 5%

$184K

3,593 claims · 1.1%

Your Cost: $51.22/claim|Median: $9.01
5.7× median
B4088Normal range

$174K

2,937 claims · 1.0%

Your Cost: $59.20/claim|Median: $73.20
0.8× median
E0619Normal range

$164K

1,778 claims · 0.9%

Your Cost: $92.31/claim|Median: $163.70
0.6× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$157K

1,538 claims · 0.9%

Your Cost: $102.07/claim|Median: $110.54
0.9× median
A4627Normal range

$143K

9,126 claims · 0.8%

Your Cost: $15.62/claim|Median: $21.89
0.7× median
E0439Top 10%

$132K

997 claims · 0.8%

Your Cost: $132.27/claim|Median: $56.10
2.4× median
A4554Normal range

Disposable underpads, all sizes

$120K

3,136 claims · 0.7%

Your Cost: $38.36/claim|Median: $37.02
1.0× median
E0260Normal range

Hospital bed, semi-electric

$120K

4,793 claims · 0.7%

Your Cost: $25.03/claim|Median: $23.07
1.1× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$100K

505 claims · 0.6%

Your Cost: $198.32/claim|Median: $210.29
0.9× median
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