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Provider 1477801439

NPI: 1477801439Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$8.9M

$8,902,647

Total Claims

100K

Beneficiaries

83K

1.2 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+1%
2019
$1.4M
+17%
2020
$1.7M
+1%
2021
$1.7M
-29%
2022
$1.2M
-27%
2023
$888K
-42%
2024
$517K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 13% of total spending.

B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$1.2M

4,020 claims · 13.0%

Your Cost: $288.94/claim|Median: $117.24
2.5× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.0M

1,889 claims · 11.3%

Your Cost: $530.87/claim|Median: $465.86
1.1× median
E0465Top 25%

Home ventilator, any type, used with invasive interface

$861K

1,022 claims · 9.7%

Your Cost: $842.54/claim|Median: $583.21
1.4× median
E0482Top 25%

$735K

2,354 claims · 8.3%

Your Cost: $312.14/claim|Median: $246.17
1.3× median
E0445Normal range

$579K

3,626 claims · 6.5%

Your Cost: $159.75/claim|Median: $118.11
1.4× median
E1390Top 10%

Oxygen concentrator, single delivery port

$509K

4,695 claims · 5.7%

Your Cost: $108.49/claim|Median: $45.11
2.4× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$493K

7,859 claims · 5.5%

Your Cost: $62.75/claim|Median: $35.30
1.8× median
E0471Top 10%

Respiratory assist device, bi-level with backup rate

$486K

1,271 claims · 5.5%

Your Cost: $382.06/claim|Median: $210.29
1.8× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$418K

1,058 claims · 4.7%

Your Cost: $395.51/claim|Median: $300.16
1.3× median
A7034Top 5%

$296K

3,705 claims · 3.3%

Your Cost: $79.77/claim|Median: $35.90
2.2× median
A4627Top 25%

$251K

5,985 claims · 2.8%

Your Cost: $41.96/claim|Median: $21.89
1.9× median
E0562Top 5%

Humidifier, heated, used with positive airway pressure device

$241K

1,475 claims · 2.7%

Your Cost: $163.46/claim|Median: $18.68
8.8× median
A4604Top 10%

$198K

4,836 claims · 2.2%

Your Cost: $40.86/claim|Median: $22.01
1.9× median
A4628Top 5%

$171K

2,992 claims · 1.9%

Your Cost: $57.19/claim|Median: $7.48
7.6× median
B4160Normal range

Enteral formula, per 100 calories

$157K

1,073 claims · 1.8%

Your Cost: $146.05/claim|Median: $157.30
0.9× median
E0570Top 5%

Nebulizer, with compressor

$138K

1,134 claims · 1.5%

Your Cost: $121.63/claim|Median: $16.16
7.5× median
A7526Normal range

$127K

2,872 claims · 1.4%

Your Cost: $44.17/claim|Median: $33.61
1.3× median
A4605Normal range

$126K

1,041 claims · 1.4%

Your Cost: $121.51/claim|Median: $121.51
1.0× median
E0431Top 10%

Portable gaseous oxygen system, rental

$119K

5,552 claims · 1.3%

Your Cost: $21.37/claim|Median: $10.37
2.1× median
A7035Top 5%

$111K

4,169 claims · 1.3%

Your Cost: $26.73/claim|Median: $13.01
2.1× median
B9002Top 25%

$109K

1,049 claims · 1.2%

Your Cost: $103.98/claim|Median: $54.41
1.9× median
A7520Normal range

$81K

1,342 claims · 0.9%

Your Cost: $60.51/claim|Median: $49.59
1.2× median
A4624Normal range

$66K

1,219 claims · 0.7%

Your Cost: $54.36/claim|Median: $107.53
0.5× median
E0600Normal range

$65K

2,228 claims · 0.7%

Your Cost: $29.03/claim|Median: $25.31
1.1× median
A7000Normal range

$53K

3,675 claims · 0.6%

Your Cost: $14.38/claim|Median: $11.83
1.2× median
A4629Top 25%

$43K

471 claims · 0.5%

Your Cost: $91.55/claim|Median: $54.42
1.7× median
A7046Top 10%

Water collection device for humidifier, each

$43K

3,193 claims · 0.5%

Your Cost: $13.47/claim|Median: $6.86
2.0× median
A4606Normal range

$43K

2,158 claims · 0.5%

Your Cost: $19.78/claim|Median: $50.63
0.4× median
B4088Normal range

$42K

1,474 claims · 0.5%

Your Cost: $28.47/claim|Median: $73.20
0.4× median
A7038Top 25%

$36K

5,717 claims · 0.4%

Your Cost: $6.36/claim|Median: $3.53
1.8× median