Total Paid
$51K
$51,072
Total Claims
3,492
Beneficiaries
2,129
1.6 claims/patient
Avg Cost/Claim
$15
🔍 Analysis
Provider Overview
is a Medicaid provider based in Unknown location. From the 2018–2024 period, this provider received $51K in Medicaid payments across 3K claims serving 2K beneficiaries.
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 11 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 70% of total spending.
$36K
1,450 claims
$24.65
$45.11
Oxygen concentrator, single delivery port
$36K
1,450 claims · 70.0%
$7K
291 claims
$24.09
$35.30
Continuous positive airway pressure (CPAP) device
$7K
291 claims · 13.7%
Full face mask for CPAP device
$2K
121 claims · 4.3%
$2K
414 claims
$4.86
$10.37
Portable gaseous oxygen system, rental
$2K
414 claims · 3.9%
$2K
284 claims · 3.7%
$1K
192 claims · 2.3%
$402
314 claims · 0.8%
$315
90 claims · 0.6%
$223
22 claims · 0.4%
Nebulizer, with compressor
$104
293 claims · 0.2%
$34
21 claims
$1.62
$6.86
Water collection device for humidifier, each
$34
21 claims · 0.1%