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Provider 1457354219

NPI: 1457354219Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,415,168

Total Claims

76K

Beneficiaries

69K

1.1 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2018
$270K
-33%
2019
$181K
+173%
2020
$495K
+223%
2021
$1.6M
+8%
2022
$1.7M
+15%
2023
$2.0M
+8%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (L4361) accounts for 24% of total spending.

L4361Normal range

$2.0M

11K claims · 23.7%

Your Cost: $180.10/claim|Median: $161.24
1.1× median
L1833Top 25%

$865K

2,128 claims · 10.3%

Your Cost: $406.72/claim|Median: $278.90
1.5× median
L4360Normal range

$831K

4,607 claims · 9.9%

Your Cost: $180.31/claim|Median: $149.34
1.2× median
L1832Normal range

$652K

1,802 claims · 7.7%

Your Cost: $361.82/claim|Median: $303.44
1.2× median
L3960Top 25%

$547K

1,576 claims · 6.5%

Your Cost: $346.89/claim|Median: $31.90
10.9× median
L3908Normal range

$485K

11K claims · 5.8%

Your Cost: $43.60/claim|Median: $35.79
1.2× median
L3809Normal range

$346K

2,429 claims · 4.1%

Your Cost: $142.61/claim|Median: $115.28
1.2× median
L1820Normal range

$297K

5,510 claims · 3.5%

Your Cost: $53.97/claim|Median: $73.16
0.7× median
L3670Normal range

$271K

3,683 claims · 3.2%

Your Cost: $73.60/claim|Median: $60.60
1.2× median
L3982Normal range

$260K

1,623 claims · 3.1%

Your Cost: $160.07/claim|Median: $220.50
0.7× median
L1902Normal range

$252K

4,823 claims · 3.0%

Your Cost: $52.15/claim|Median: $46.30
1.1× median
L3984Normal range

$188K

1,523 claims · 2.2%

Your Cost: $123.22/claim|Median: $198.13
0.6× median
E0114Normal range

$151K

5,166 claims · 1.8%

Your Cost: $29.21/claim|Median: $29.11
1.0× median
L1812Normal range

$148K

2,218 claims · 1.8%

Your Cost: $66.74/claim|Median: $57.48
1.2× median
L3807Top 25%

$125K

897 claims · 1.5%

Your Cost: $139.88/claim|Median: $120.29
1.2× median
A5513Normal range

Diabetic therapeutic shoe, each, custom molded

$100K

2,232 claims · 1.2%

Your Cost: $44.79/claim|Median: $40.80
1.1× median
L1906Normal range

Ankle-foot orthosis, multiligamentous ankle support

$91K

1,585 claims · 1.1%

Your Cost: $57.37/claim|Median: $61.75
0.9× median
L1852Top 1%

$85K

128 claims · 1.0%

Your Cost: $662.61/claim|Median: $97.81
6.8× median
L3020Normal range

Foot insert, removable, longitudinal arch support, each

$82K

950 claims · 1.0%

Your Cost: $86.73/claim|Median: $127.94
0.7× median
L3924Top 25%

$72K

1,319 claims · 0.9%

Your Cost: $54.45/claim|Median: $41.40
1.3× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$67K

2,033 claims · 0.8%

Your Cost: $33.13/claim|Median: $33.21
1.0× median
L3762Top 10%

$66K

1,071 claims · 0.8%

Your Cost: $61.23/claim|Median: $52.86
1.2× median
L1930Top 25%

$56K

288 claims · 0.7%

Your Cost: $195.12/claim|Median: $144.40
1.4× median
L4387Normal range

$50K

448 claims · 0.6%

Your Cost: $112.37/claim|Median: $96.24
1.2× median
L2795Normal range

$48K

1,019 claims · 0.6%

Your Cost: $47.43/claim|Median: $41.13
1.2× median
L2397Top 10%

$43K

635 claims · 0.5%

Your Cost: $67.53/claim|Median: $9.37
7.2× median
L1810Normal range

$42K

736 claims · 0.5%

Your Cost: $56.41/claim|Median: $62.31
0.9× median
L3010Normal range

Foot insert, removable, longitudinal-metatarsal support, each

$38K

236 claims · 0.4%

Your Cost: $158.92/claim|Median: $133.98
1.2× median
E0935Top 25%

$34K

153 claims · 0.4%

Your Cost: $224.31/claim|Median: $121.70
1.8× median
L4350Normal range

$24K

467 claims · 0.3%

Your Cost: $52.45/claim|Median: $52.71
1.0× median
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