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Provider 1497810048

NPI: 1497810048Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,464,397

Total Claims

167K

Beneficiaries

74K

2.2 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+17%
2019
$1.2M
+40%
2020
$1.6M
+20%
2021
$2.0M
-16%
2022
$1.7M
-2%
2023
$1.6M
-15%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4606) accounts for 14% of total spending.

A4606Top 5%

$1.5M

7,342 claims · 14.3%

Your Cost: $204.41/claim|Median: $50.63
4.0× median
A7521Top 5%

$1.2M

2,582 claims · 11.2%

Your Cost: $452.60/claim|Median: $39.24
11.5× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.2M

10K claims · 11.1%

Your Cost: $114.41/claim|Median: $117.24
1.0× median
A4624Normal range

$871K

6,285 claims · 8.3%

Your Cost: $138.60/claim|Median: $107.53
1.3× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$808K

18K claims · 7.7%

Your Cost: $44.01/claim|Median: $55.51
0.8× median
B4088Normal range

$806K

8,057 claims · 7.7%

Your Cost: $100.03/claim|Median: $73.20
1.4× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$724K

1,237 claims · 6.9%

Your Cost: $585.17/claim|Median: $583.21
1.0× median
E1390Top 25%

Oxygen concentrator, single delivery port

$574K

7,762 claims · 5.5%

Your Cost: $73.94/claim|Median: $45.11
1.6× median
A7520Top 25%

$265K

2,087 claims · 2.5%

Your Cost: $127.02/claim|Median: $49.59
2.6× median
A7526Normal range

$215K

5,286 claims · 2.1%

Your Cost: $40.61/claim|Median: $33.61
1.2× median
E0466Top 25%

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

$194K

340 claims · 1.9%

Your Cost: $570.95/claim|Median: $317.50
1.8× median
E0445Top 5%

$189K

240 claims · 1.8%

Your Cost: $787.23/claim|Median: $118.11
6.7× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$186K

2,707 claims · 1.8%

Your Cost: $68.85/claim|Median: $84.50
0.8× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$172K

5,334 claims · 1.6%

Your Cost: $32.16/claim|Median: $13.14
2.4× median
A9900Normal range

$145K

4,997 claims · 1.4%

Your Cost: $29.06/claim|Median: $58.14
0.5× median
A4629Normal range

$143K

3,062 claims · 1.4%

Your Cost: $46.70/claim|Median: $54.42
0.9× median
T4530Normal range

$136K

2,025 claims · 1.3%

Your Cost: $67.23/claim|Median: $83.90
0.8× median
A4483Normal range

$127K

1,484 claims · 1.2%

Your Cost: $85.35/claim|Median: $91.41
0.9× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$108K

1,258 claims · 1.0%

Your Cost: $85.54/claim|Median: $96.13
0.9× median
E0619Normal range

$106K

774 claims · 1.0%

Your Cost: $136.92/claim|Median: $163.70
0.8× median
A4628Top 5%

$106K

3,515 claims · 1.0%

Your Cost: $30.15/claim|Median: $7.48
4.0× median
E1399Normal range

Durable medical equipment, miscellaneous

$105K

362 claims · 1.0%

Your Cost: $291.32/claim|Median: $104.06
2.8× median
A7508Normal range

$76K

3,311 claims · 0.7%

Your Cost: $23.02/claim|Median: $41.86
0.5× median
B4034Normal range

$73K

2,723 claims · 0.7%

Your Cost: $26.90/claim|Median: $46.28
0.6× median
S8189Normal range

$72K

3,571 claims · 0.7%

Your Cost: $20.25/claim|Median: $81.07
0.2× median
B9002Top 10%

$59K

388 claims · 0.6%

Your Cost: $152.35/claim|Median: $54.41
2.8× median
A9999Normal range

$55K

21K claims · 0.5%

Your Cost: $2.61/claim|Median: $39.73
0.1× median
A6402Normal range

$48K

6,520 claims · 0.5%

Your Cost: $7.38/claim|Median: $7.69
1.0× median
A4554Normal range

Disposable underpads, all sizes

$45K

1,463 claims · 0.4%

Your Cost: $30.92/claim|Median: $37.02
0.8× median
A4216Normal range

$34K

4,083 claims · 0.3%

Your Cost: $8.39/claim|Median: $8.45
1.0× median
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