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CLEVELAND CLINIC HOME CARE SERVICES

Pharmacy, Home Infusion Therapy Pharmacy·INDEPENDENCE, OH·NPI: 1457381782Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.7M

$20,693,680

Total Claims

210K

Beneficiaries

141K

1.5 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+19%
2019
$4.3M
-0%
2020
$4.2M
+2%
2021
$4.3M
-45%
2022
$2.4M
-53%
2023
$1.1M
-24%
2024
$847K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (J1726) accounts for 30% of total spending.

J1726Normal range

$6.3M

7,600 claims · 30.3%

Your Cost: $823.73/claim|Median: $789.74
1.0× median
90378Normal range

$2.6M

1,336 claims · 12.4%

Your Cost: $1,919.72/claim|Median: $1,627.19
1.2× median
B4197Normal range

$1.7M

1,910 claims · 8.3%

Your Cost: $902.58/claim|Median: $687.38
1.3× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.5M

27K claims · 7.3%

Your Cost: $55.94/claim|Median: $45.11
1.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.1M

11K claims · 5.2%

Your Cost: $95.04/claim|Median: $117.24
0.8× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$999K

17K claims · 4.8%

Your Cost: $58.90/claim|Median: $35.30
1.7× median
B4153Normal range

$525K

1,646 claims · 2.5%

Your Cost: $318.93/claim|Median: $410.73
0.8× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$487K

1,558 claims · 2.4%

Your Cost: $312.34/claim|Median: $465.86
0.7× median
E0431Top 10%

Portable gaseous oxygen system, rental

$477K

22K claims · 2.3%

Your Cost: $21.82/claim|Median: $10.37
2.1× median
A4222Normal range

$444K

4,243 claims · 2.1%

Your Cost: $104.61/claim|Median: $62.70
1.7× median
E0562Top 5%

Humidifier, heated, used with positive airway pressure device

$413K

2,640 claims · 2.0%

Your Cost: $156.56/claim|Median: $18.68
8.4× median
A4649Normal range

Surgical supply, miscellaneous, not otherwise classified

$382K

24K claims · 1.8%

Your Cost: $15.96/claim|Median: $5.04
3.2× median
B4224Normal range

$353K

8,618 claims · 1.7%

Your Cost: $40.93/claim|Median: $78.83
0.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$321K

3,676 claims · 1.6%

Your Cost: $87.41/claim|Median: $92.20
0.9× median
E0470Top 25%

$278K

2,033 claims · 1.3%

Your Cost: $136.77/claim|Median: $81.45
1.7× median
B4160Normal range

Enteral formula, per 100 calories

$266K

2,005 claims · 1.3%

Your Cost: $132.54/claim|Median: $157.30
0.8× median
A7030Normal range

Full face mask for CPAP device

$256K

3,569 claims · 1.2%

Your Cost: $71.86/claim|Median: $56.36
1.3× median
A4223Normal range

$248K

5,146 claims · 1.2%

Your Cost: $48.24/claim|Median: $60.92
0.8× median
B4199Normal range

$233K

275 claims · 1.1%

Your Cost: $847.50/claim|Median: $810.01
1.0× median
A4604Top 25%

$174K

5,068 claims · 0.8%

Your Cost: $34.29/claim|Median: $22.01
1.6× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$161K

2,101 claims · 0.8%

Your Cost: $76.75/claim|Median: $89.79
0.9× median
E0424Normal range

$147K

1,667 claims · 0.7%

Your Cost: $88.40/claim|Median: $81.60
1.1× median
A7035Top 10%

$123K

5,231 claims · 0.6%

Your Cost: $23.58/claim|Median: $13.01
1.8× median
B4220Normal range

$123K

8,141 claims · 0.6%

Your Cost: $15.11/claim|Median: $27.49
0.5× median
E0445Top 25%

$119K

582 claims · 0.6%

Your Cost: $203.73/claim|Median: $118.11
1.7× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$113K

540 claims · 0.5%

Your Cost: $209.69/claim|Median: $210.29
1.0× median
A7034Normal range

$111K

2,627 claims · 0.5%

Your Cost: $42.33/claim|Median: $35.90
1.2× median
E0570Normal range

Nebulizer, with compressor

$106K

4,061 claims · 0.5%

Your Cost: $26.13/claim|Median: $16.16
1.6× median
B9002Normal range

$106K

2,120 claims · 0.5%

Your Cost: $49.84/claim|Median: $54.41
0.9× median
B4088Normal range

$85K

1,254 claims · 0.4%

Your Cost: $67.49/claim|Median: $73.20
0.9× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$73K

4,187 claims · 0.4%

Your Cost: $17.44/claim|Median: $16.19
1.1× median
B4034Normal range

$61K

1,713 claims · 0.3%

Your Cost: $35.68/claim|Median: $46.28
0.8× median
K0738Normal range

$53K

2,346 claims · 0.3%

Your Cost: $22.68/claim|Median: $17.69
1.3× median
A7031Normal range

$47K

1,552 claims · 0.2%

Your Cost: $30.36/claim|Median: $25.17
1.2× median
S9560Normal range

$42K

1,059 claims · 0.2%

Your Cost: $39.96/claim|Median: $119.30
0.3× median
S9500Normal range

$32K

150 claims · 0.2%

Your Cost: $214.35/claim|Median: $144.40
1.5× median
S9542Normal range

$31K

722 claims · 0.2%

Your Cost: $43.22/claim|Median: $43.71
1.0× median
A7039Top 10%

$25K

2,897 claims · 0.1%

Your Cost: $8.73/claim|Median: $4.54
1.9× median
A4216Normal range

$24K

2,007 claims · 0.1%

Your Cost: $12.15/claim|Median: $8.45
1.4× median
A7038Normal range

$20K

6,284 claims · 0.1%

Your Cost: $3.18/claim|Median: $3.53
0.9× median
S9562Normal range

$18K

944 claims · 0.1%

Your Cost: $18.73/claim|Median: $17.09
1.1× median
A7005Normal range

$17K

1,177 claims · 0.1%

Your Cost: $14.72/claim|Median: $12.44
1.2× median
E1392Top 10%

$16K

559 claims · 0.1%

Your Cost: $27.80/claim|Median: $10.81
2.6× median
J3370Top 5%

$11K

157 claims · 0.1%

Your Cost: $68.51/claim|Median: $2.40
28.5× median
A7037Top 25%

$9K

479 claims · 0.0%

Your Cost: $18.82/claim|Median: $10.56
1.8× median
E0600Top 25%

$9K

172 claims · 0.0%

Your Cost: $49.51/claim|Median: $25.31
2.0× median
E0565Top 25%

$8K

188 claims · 0.0%

Your Cost: $43.13/claim|Median: $28.42
1.5× median
E0781Normal range

$6K

223 claims · 0.0%

Your Cost: $25.88/claim|Median: $54.38
0.5× median
A7046Normal range

Water collection device for humidifier, each

$5K

1,209 claims · 0.0%

Your Cost: $3.95/claim|Median: $6.86
0.6× median
A7032Normal range

$4K

238 claims · 0.0%

Your Cost: $16.49/claim|Median: $25.48
0.6× median

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