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Provider 1477526333

NPI: 1477526333Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.7M

$17,694,029

Total Claims

61K

Beneficiaries

38K

1.6 claims/patient

Avg Cost/Claim

$288

Monthly Spending Trend

Yearly Spending

2018
$13K
+76%
2019
$22K
+4401%
2020
$1.0M
+234%
2021
$3.4M
+20%
2022
$4.1M
+29%
2023
$5.3M
-25%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 30% of total spending.

E1399Normal range

Durable medical equipment, miscellaneous

$5.3M

12K claims · 30.1%

Your Cost: $451.99/claim|Median: $104.06
4.3× median
K0108Normal range

Wheelchair component or accessory, NOS

$2.6M

14K claims · 14.9%

Your Cost: $190.77/claim|Median: $153.75
1.2× median
E2617Top 10%

$2.0M

1,059 claims · 11.0%

Your Cost: $1,845.87/claim|Median: $939.89
2.0× median
E2609Top 5%

$1.8M

959 claims · 10.2%

Your Cost: $1,878.63/claim|Median: $840.30
2.2× median
E0240Top 10%

$1.2M

861 claims · 6.8%

Your Cost: $1,392.14/claim|Median: $62.75
22.2× median
E1161Top 25%

$680K

1,808 claims · 3.8%

Your Cost: $376.06/claim|Median: $200.27
1.9× median
E1028Top 25%

$644K

5,447 claims · 3.6%

Your Cost: $118.17/claim|Median: $54.00
2.2× median
K0005Top 25%

$412K

276 claims · 2.3%

Your Cost: $1,494.13/claim|Median: $1,060.57
1.4× median
E0329Top 1%

$361K

53 claims · 2.0%

Your Cost: $6,805.76/claim|Median: $5,394.67
1.3× median
E8001Normal range

$351K

157 claims · 2.0%

Your Cost: $2,236.56/claim|Median: $2,273.78
1.0× median
K0739Top 25%

$286K

4,166 claims · 1.6%

Your Cost: $68.77/claim|Median: $34.09
2.0× median
E0956Top 10%

$240K

1,338 claims · 1.4%

Your Cost: $179.34/claim|Median: $106.01
1.7× median
E0955Top 25%

$230K

3,285 claims · 1.3%

Your Cost: $69.95/claim|Median: $43.51
1.6× median
E2607Top 5%

$217K

823 claims · 1.2%

Your Cost: $263.44/claim|Median: $150.23
1.8× median
E2613Top 5%

$197K

561 claims · 1.1%

Your Cost: $350.83/claim|Median: $250.22
1.4× median
E0973Top 25%

$170K

1,755 claims · 1.0%

Your Cost: $96.62/claim|Median: $42.75
2.3× median
K0040Normal range

$150K

1,876 claims · 0.8%

Your Cost: $80.06/claim|Median: $62.90
1.3× median
E0960Top 25%

$141K

1,969 claims · 0.8%

Your Cost: $71.42/claim|Median: $58.78
1.2× median
E1236Top 5%

$138K

89 claims · 0.8%

Your Cost: $1,552.40/claim|Median: $389.45
4.0× median
E0950Top 25%

$133K

1,263 claims · 0.8%

Your Cost: $105.38/claim|Median: $67.43
1.6× median
E0971Top 10%

$84K

1,580 claims · 0.5%

Your Cost: $53.30/claim|Median: $13.46
4.0× median
E0978Top 25%

$62K

2,383 claims · 0.4%

Your Cost: $26.03/claim|Median: $14.50
1.8× median
E1234Normal range

$60K

39 claims · 0.3%

Your Cost: $1,532.79/claim|Median: $1,532.79
1.0× median
E0637Top 25%

$43K

13 claims · 0.2%

Your Cost: $3,314.12/claim|Median: $2,325.73
1.4× median
E2213Top 25%

$39K

907 claims · 0.2%

Your Cost: $42.59/claim|Median: $32.15
1.3× median
97542Normal range

Wheelchair management training

$28K

1,343 claims · 0.2%

Your Cost: $20.56/claim|Median: $18.66
1.1× median
E1232Top 1%

$26K

14 claims · 0.1%

Your Cost: $1,849.14/claim|Median: $1,543.90
1.2× median
E0961Top 10%

$14K

439 claims · 0.1%

Your Cost: $32.42/claim|Median: $10.99
3.0× median
E2211Top 25%

$14K

316 claims · 0.1%

Your Cost: $44.13/claim|Median: $35.48
1.2× median
K0823Top 5%

Power wheelchair, Group 2

$14K

28 claims · 0.1%

Your Cost: $494.13/claim|Median: $95.35
5.2× median
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