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Provider 1497389845

NPI: 1497389845Share
Active Billing Period:2020-12→2024-12(49 months)

Total Paid

$9.9M

$9,860,526

Total Claims

113K

Beneficiaries

100K

1.1 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2020
$32K
+3748%
2021
$1.2M
+58%
2022
$2.0M
+55%
2023
$3.0M
+19%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 24% of total spending.

B4161Top 5%

Enteral formula, semisolid, 100 calories = 1 unit

$2.3M

2,099 claims · 23.7%

Your Cost: $1,112.83/claim|Median: $465.86
2.4× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$974K

4,860 claims · 9.9%

Your Cost: $200.49/claim|Median: $117.24
1.7× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$930K

1,490 claims · 9.4%

Your Cost: $624.40/claim|Median: $583.21
1.1× median
E0445Normal range

$733K

9,330 claims · 7.4%

Your Cost: $78.54/claim|Median: $118.11
0.7× median
E1390Top 5%

Oxygen concentrator, single delivery port

$544K

3,853 claims · 5.5%

Your Cost: $141.06/claim|Median: $45.11
3.1× median
B9002Normal range

$541K

7,782 claims · 5.5%

Your Cost: $69.46/claim|Median: $54.41
1.3× median
E0424Top 5%

$514K

2,936 claims · 5.2%

Your Cost: $174.96/claim|Median: $81.60
2.1× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$332K

926 claims · 3.4%

Your Cost: $358.56/claim|Median: $300.16
1.2× median
A4624Normal range

$273K

4,195 claims · 2.8%

Your Cost: $65.19/claim|Median: $107.53
0.6× median
B4160Normal range

Enteral formula, per 100 calories

$268K

1,346 claims · 2.7%

Your Cost: $199.23/claim|Median: $157.30
1.3× median
B4087Normal range

$227K

9,687 claims · 2.3%

Your Cost: $23.40/claim|Median: $25.27
0.9× median
E0466Top 25%

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

$203K

351 claims · 2.1%

Your Cost: $579.47/claim|Median: $317.50
1.8× median
E0431Top 5%

Portable gaseous oxygen system, rental

$196K

6,984 claims · 2.0%

Your Cost: $28.07/claim|Median: $10.37
2.7× median
B4088Normal range

$189K

2,022 claims · 1.9%

Your Cost: $93.69/claim|Median: $73.20
1.3× median
A7521Top 10%

$155K

639 claims · 1.6%

Your Cost: $242.57/claim|Median: $39.24
6.2× median
B9998Top 5%

Enteral/parenteral nutritional supplies, NOS

$129K

402 claims · 1.3%

Your Cost: $321.10/claim|Median: $55.51
5.8× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$107K

1,643 claims · 1.1%

Your Cost: $65.17/claim|Median: $35.30
1.8× median
A9900Normal range

$96K

848 claims · 1.0%

Your Cost: $112.72/claim|Median: $58.14
1.9× median
E0471Top 25%

Respiratory assist device, bi-level with backup rate

$93K

299 claims · 0.9%

Your Cost: $312.21/claim|Median: $210.29
1.5× median
A7508Normal range

$86K

1,694 claims · 0.9%

Your Cost: $50.61/claim|Median: $41.86
1.2× median
E0600Normal range

$70K

2,862 claims · 0.7%

Your Cost: $24.38/claim|Median: $25.31
1.0× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$57K

503 claims · 0.6%

Your Cost: $112.82/claim|Median: $110.54
1.0× median
A4554Normal range

Disposable underpads, all sizes

$55K

1,320 claims · 0.6%

Your Cost: $41.98/claim|Median: $37.02
1.1× median
A4213Normal range

$51K

3,009 claims · 0.5%

Your Cost: $16.93/claim|Median: $9.01
1.9× median
A4629Top 25%

$49K

612 claims · 0.5%

Your Cost: $80.77/claim|Median: $54.42
1.5× median
A6402Top 25%

$48K

3,296 claims · 0.5%

Your Cost: $14.42/claim|Median: $7.69
1.9× median
A4927Normal range

Gloves, non-sterile, per 100

$43K

3,854 claims · 0.4%

Your Cost: $11.06/claim|Median: $12.90
0.9× median
E0570Top 10%

Nebulizer, with compressor

$39K

441 claims · 0.4%

Your Cost: $89.40/claim|Median: $16.16
5.5× median
A4450Top 5%

$37K

1,843 claims · 0.4%

Your Cost: $19.95/claim|Median: $3.14
6.4× median
A4209Top 25%

$34K

3,647 claims · 0.3%

Your Cost: $9.27/claim|Median: $1.41
6.6× median
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