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Provider 1518930254

NPI: 1518930254Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$13.9M

$13,946,627

Total Claims

358K

Beneficiaries

283K

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+6%
2019
$1.8M
-0%
2020
$1.8M
+18%
2021
$2.1M
+11%
2022
$2.3M
+4%
2023
$2.4M
-27%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 17% of total spending.

E1390Normal range

Oxygen concentrator, single delivery port

$2.4M

59K claims · 17.5%

Your Cost: $41.51/claim|Median: $45.11
0.9× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.2M

4,203 claims · 15.6%

Your Cost: $517.78/claim|Median: $465.86
1.1× median
B4160Normal range

Enteral formula, per 100 calories

$1.3M

6,951 claims · 9.1%

Your Cost: $182.67/claim|Median: $157.30
1.2× median
E0466Normal range

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

$1.2M

3,542 claims · 8.8%

Your Cost: $346.77/claim|Median: $317.50
1.1× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$804K

5,564 claims · 5.8%

Your Cost: $144.58/claim|Median: $117.24
1.2× median
A7030Normal range

Full face mask for CPAP device

$793K

13K claims · 5.7%

Your Cost: $61.55/claim|Median: $56.36
1.1× median
A7031Normal range

$727K

23K claims · 5.2%

Your Cost: $32.09/claim|Median: $25.17
1.3× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$706K

19K claims · 5.1%

Your Cost: $36.46/claim|Median: $35.30
1.0× median
A4604Normal range

$433K

16K claims · 3.1%

Your Cost: $26.34/claim|Median: $22.01
1.2× median
E0431Normal range

Portable gaseous oxygen system, rental

$360K

41K claims · 2.6%

Your Cost: $8.84/claim|Median: $10.37
0.9× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$276K

23K claims · 2.0%

Your Cost: $11.87/claim|Median: $18.68
0.6× median
A7034Normal range

$227K

6,096 claims · 1.6%

Your Cost: $37.23/claim|Median: $35.90
1.0× median
E0470Normal range

$203K

2,853 claims · 1.5%

Your Cost: $71.09/claim|Median: $81.45
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$193K

2,148 claims · 1.4%

Your Cost: $90.00/claim|Median: $89.79
1.0× median
E0570Normal range

Nebulizer, with compressor

$191K

15K claims · 1.4%

Your Cost: $12.58/claim|Median: $16.16
0.8× median
A7032Normal range

$186K

5,582 claims · 1.3%

Your Cost: $33.36/claim|Median: $25.48
1.3× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$167K

1,748 claims · 1.2%

Your Cost: $95.41/claim|Median: $92.20
1.0× median
B4034Normal range

$154K

2,797 claims · 1.1%

Your Cost: $55.22/claim|Median: $46.28
1.2× median
A7035Normal range

$143K

11K claims · 1.0%

Your Cost: $12.79/claim|Median: $13.01
1.0× median
B9002Normal range

$136K

2,539 claims · 1.0%

Your Cost: $53.74/claim|Median: $54.41
1.0× median
A7038Normal range

$136K

34K claims · 1.0%

Your Cost: $3.95/claim|Median: $3.53
1.1× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$134K

4,169 claims · 1.0%

Your Cost: $32.17/claim|Median: $31.59
1.0× median
A7033Normal range

$128K

4,660 claims · 0.9%

Your Cost: $27.44/claim|Median: $20.57
1.3× median
E0114Top 25%

$95K

2,515 claims · 0.7%

Your Cost: $37.74/claim|Median: $29.11
1.3× median
E1130Top 10%

Standard wheelchair, fixed full-length arms, swing-away footrests

$74K

2,285 claims · 0.5%

Your Cost: $32.27/claim|Median: $16.20
2.0× median
E1392Normal range

$71K

5,617 claims · 0.5%

Your Cost: $12.68/claim|Median: $10.81
1.2× median
A7046Normal range

Water collection device for humidifier, each

$67K

8,911 claims · 0.5%

Your Cost: $7.54/claim|Median: $6.86
1.1× median
E0619Normal range

$60K

395 claims · 0.4%

Your Cost: $152.37/claim|Median: $163.70
0.9× median
E0445Normal range

$52K

424 claims · 0.4%

Your Cost: $122.21/claim|Median: $118.11
1.0× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$44K

128 claims · 0.3%

Your Cost: $340.71/claim|Median: $300.16
1.1× median