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Provider 1518037787

NPI: 1518037787Share
Active Billing Period:2018-01→2024-11(80 months)

Total Paid

$14.3M

$14,314,451

Total Claims

46K

Beneficiaries

45K

1.0 claims/patient

Avg Cost/Claim

$310

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+15%
2019
$2.6M
-65%
2020
$903K
+12%
2021
$1.0M
+99%
2022
$2.0M
+24%
2023
$2.5M
+28%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (E1161) accounts for 37% of total spending.

E1161Top 5%

$5.3M

2,528 claims · 37.3%

Your Cost: $2,111.54/claim|Median: $200.27
10.5× median
K0004Top 1%

$2.3M

1,824 claims · 15.7%

Your Cost: $1,233.72/claim|Median: $34.32
35.9× median
E2607Top 10%

$1.1M

4,428 claims · 7.4%

Your Cost: $239.43/claim|Median: $150.23
1.6× median
E0973Top 5%

$749K

4,964 claims · 5.2%

Your Cost: $150.82/claim|Median: $42.75
3.5× median
E1225Top 10%

$587K

1,744 claims · 4.1%

Your Cost: $336.65/claim|Median: $47.32
7.1× median
E1028Top 10%

$494K

3,159 claims · 3.5%

Your Cost: $156.48/claim|Median: $54.00
2.9× median
E2201Top 5%

$459K

1,371 claims · 3.2%

Your Cost: $334.70/claim|Median: $19.07
17.6× median
E2613Top 10%

$386K

1,150 claims · 2.7%

Your Cost: $335.70/claim|Median: $250.22
1.3× median
E0971Top 5%

$372K

4,928 claims · 2.6%

Your Cost: $75.55/claim|Median: $13.46
5.6× median
E0955Top 10%

$311K

2,628 claims · 2.2%

Your Cost: $118.51/claim|Median: $43.51
2.7× median
E2620Top 10%

$292K

659 claims · 2.0%

Your Cost: $442.82/claim|Median: $232.23
1.9× median
E0990Top 5%

$283K

1,744 claims · 2.0%

Your Cost: $162.22/claim|Median: $19.31
8.4× median
K0040Top 5%

$271K

2,256 claims · 1.9%

Your Cost: $120.29/claim|Median: $62.90
1.9× median
E0956Top 25%

$252K

1,549 claims · 1.8%

Your Cost: $162.38/claim|Median: $106.01
1.5× median
K0053Top 1%

$221K

1,285 claims · 1.5%

Your Cost: $171.61/claim|Median: $9.85
17.4× median
E2231Top 5%

$150K

1,031 claims · 1.1%

Your Cost: $145.80/claim|Median: $91.19
1.6× median
E2209Top 1%

$134K

874 claims · 0.9%

Your Cost: $153.20/claim|Median: $66.02
2.3× median
E0961Top 5%

$127K

2,854 claims · 0.9%

Your Cost: $44.43/claim|Median: $10.99
4.0× median
E2203Top 25%

$125K

279 claims · 0.9%

Your Cost: $448.31/claim|Median: $306.17
1.5× median
E0951Top 5%

$108K

3,593 claims · 0.8%

Your Cost: $29.98/claim|Median: $9.88
3.0× median
E2611Top 5%

General wheelchair seat cushion, width less than twenty-two inches

$107K

470 claims · 0.7%

Your Cost: $227.10/claim|Median: $61.71
3.7× median
E1226Top 1%

$59K

184 claims · 0.4%

Your Cost: $323.05/claim|Median: $29.99
10.8× median
E2608Normal range

$56K

191 claims · 0.4%

Your Cost: $291.14/claim|Median: $291.14
1.0× median
K0005Top 10%

$42K

25 claims · 0.3%

Your Cost: $1,688.30/claim|Median: $1,060.57
1.6× median
K0108Normal range

Wheelchair component or accessory, NOS

$40K

234 claims · 0.3%

Your Cost: $171.70/claim|Median: $153.75
1.1× median
E2615Top 25%

$28K

73 claims · 0.2%

Your Cost: $383.48/claim|Median: $272.83
1.4× median
E2612Top 1%

$10K

28 claims · 0.1%

Your Cost: $341.51/claim|Median: $101.08
3.4× median
E0992Top 1%

$2K

40 claims · 0.0%

Your Cost: $61.98/claim|Median: $26.88
2.3× median
E2219Top 5%

$946

14 claims · 0.0%

Your Cost: $67.54/claim|Median: $45.63
1.5× median
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